Systems, devices and methods for monitoring breastfeeding

ABSTRACT

Breast monitoring systems are described including a breast sensor device having a substrate fabricated to substantially conform to one or more breasts of a subject, dynamically bendable optical fibers, and a connector; a light source configured to operably couple with the optical fibers through the connector; a photodetector configured to operably couple with the optical fibers through the connector and positioned to detect light transmission through the optical fibers; a reporting device; and a microcontroller including a microprocessor and circuitry, the circuitry including input circuitry configured to receive a first set of signals and at least one second set of signals from the photodetector; calculation circuitry configured to calculate a curvature delta value based on a comparison of the first and at least one second set of signals, and calculate a breast volume delta value from the calculated curvature delta value; and reporting circuitry.

If an Application Data Sheet (ADS) has been filed on the filing date ofthis application, it is incorporated by reference herein. Anyapplications claimed on the ADS for priority under 35 U.S.C. §§ 119,120, 121, or 365(c), and any and all parent, grandparent,great-grandparent, etc. applications of such applications, are alsoincorporated by reference, including any priority claims made in thoseapplications and any material incorporated by reference, to the extentsuch subject matter is not inconsistent herewith.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application claims the benefit of the earliest availableeffective filing date(s) from the following listed application(s) (the“Priority Applications”), if any, listed below (e.g., claims earliestavailable priority dates for other than provisional patent applicationsor claims benefits under 35 USC § 119(e) for provisional patentapplications, for any and all parent, grandparent, great-grandparent,etc. applications of the Priority Application(s)).

PRIORITY APPLICATIONS

None

If the listings of applications provided above are inconsistent with thelistings provided via an ADS, it is the intent of the Applicant to claimpriority to each application that appears in the DomesticBenefit/National Stage Information section of the ADS and to eachapplication that appears in the Priority Applications section of thisapplication.

All subject matter of the Priority Applications and of any and allapplications related to the Priority Applications by priority claims(directly or indirectly), including any priority claims made and subjectmatter incorporated by reference therein as of the filing date of theinstant application, is incorporated herein by reference to the extentsuch subject matter is not inconsistent herewith.

SUMMARY

In an embodiment, a wearable breast monitor includes, but is not limitedto, a flexible substrate fabricated to substantially conform to externalcontours of at least a portion of one or more breasts of a subject; oneor more optical fibers associated with the flexible substrate, whereinthe one or more optical fibers are dynamically bendable; at least onelight source operably coupled to the one or more optical fibers; atleast one photodetector positioned to detect light reception from theone or more optical fibers; a reporting device; and a microcontrollerincluding a microprocessor and circuitry, wherein the circuitry includesinput circuitry configured to receive a first set of signals from the atleast one photodetector, and receive at least one second set of signalsfrom the at least one photodetector; calculation circuitry configured tocalculate a curvature delta value based on a comparison of the receivedfirst set of signals and the received at least one second set of signalsfrom the at least one photodetector, and calculate a breast volume deltavalue from the calculated curvature delta value; and reporting circuitryconfigured to transmit a signal to the reporting device based on thecalculated breast volume delta value. In addition to the foregoing,other aspects of a wearable breast monitor are described in the claims,drawings, and text forming a part of the present disclosure.

In an embodiment, a breast monitoring system includes, but is notlimited to, a flexible substrate fabricated to substantially conform toexternal contours of at least a portion of one or more breasts of asubject; one or more optical fibers associated with the flexiblesubstrate, wherein the one or more optical fibers are dynamicallybendable; at least one light source operably coupled to the one or moreoptical fibers; at least one photodetector positioned to detect lightreception from the one or more optical fibers; a reporting device; and amicrocontroller including a microprocessor and circuitry, wherein thecircuitry includes input circuitry configured to receive a first set ofsignals from the at least one photodetector, and receive at least onesecond set of signals from the at least one photodetector; calculationcircuitry configured to calculate a curvature delta value based on acomparison of the received first set of signals and the received atleast one second set of signals from the at least one photodetector, andcalculate a breast volume delta value from the calculated curvaturedelta value; and reporting circuitry configured to transmit a signal tothe reporting device based on the calculated breast volume delta value.In addition to the foregoing, other system aspects are described in theclaims, drawings, and text forming a part of the present disclosure.

In an embodiment, a breast monitoring system includes, but is notlimited to, a wearable breast monitor including a flexible substratefabricated to substantially conform to external contours of at least aportion of one or more breasts of a subject, one or more optical fibersassociated with the flexible substrate, wherein the one or more opticalfibers are dynamically bendable, at least one light source operablycoupled to the one or more optical fibers; at least one photodetectorpositioned to detect light reception from the one or more opticalfibers; and a transmission unit including an antenna and operablycoupled to the at least one photodetector, the transmission unitconfigured to transmit signals, the transmitted signals including lightreception information from the at least one photodetector; and acomputing device including a receiver and a microprocessor withcircuitry, the circuitry including input circuitry configured to receivea first set of transmitted signals from the transmission unit of thewearable breast monitor, and receive at least one second set oftransmitted signals from the transmission unit of the wearable breastmonitor; calculation circuitry configured to calculate a curvature deltavalue based on a comparison of the received first set of transmittedsignals and the received at least one second set of transmitted signalsfrom the transmission unit of the wearable breast monitor, and tocalculate a breast volume delta value from the calculated curvaturedelta value; and reporting circuitry configured to report the calculatedbreast volume delta value. In addition to the foregoing, other systemaspects are described in the claims, drawings, and text forming a partof the present disclosure.

In an embodiment, a method for monitoring breastfeeding includes, but isnot limited to, measuring a curvature of a breast during a breastfeedingevent at a first time point and at at least one second time point withone or more optical fibers associated with a flexible substrate of awearable breast monitor; calculating a change in curvature of the breastduring the breastfeeding event between the first time point and the atleast one second time point; correlating the calculated change incurvature of the breast during the breastfeeding event with a volume ofmilk expressed between the first time point and the at least one secondtime point; and reporting the volume of milk expressed during thebreastfeeding event between the first time point and the at least onesecond time point to a user. In addition to the foregoing, other methodaspects are described in the claims, drawings, and text forming a partof the present disclosure.

In an embodiment, a method for monitoring breastfeeding includes, but isnot limited to, receiving a first set of signals at a first time pointfrom at least one photodetector positioned to detect light receptionfrom one or more optical fibers associated with a flexible substrate ofa wearable breast monitor; receiving at least one second set of signalsat at least one second time point from the at least one photodetectorpositioned to detect light reception from the one or more optical fibersassociated with the flexible substrate of the wearable breast monitor;calculating a curvature delta value based on comparing the receivedfirst set of signals and the received at least one second set ofsignals; calculating a breast volume delta from the calculated curvaturedelta value; and transmitting one or more signals having informationregarding the calculated breast volume delta to a reporting device. Inaddition to the foregoing, other method aspects are described in theclaims, drawings, and text forming a part of the present disclosure.

In an embodiment, a breast monitoring system includes, but is notlimited to, a breast sensor device including a flexible substratefabricated to substantially conform to external contours of at least aportion of one or more breasts of a subject; one or more optical fibersassociated with the flexible substrate, wherein the one or more opticalfibers are dynamically bendable; and at least one connector operablycoupled to the one or more optical fibers; at least one light sourceconfigured to operably couple with a first end of the one or moreoptical fibers of the breast sensor device through the at least oneconnector; at least one photodetector configured to operably couple witha second end of the one or more optical fibers of the breast sensordevice through the at least one connector, the at least onephotodetector positioned to detect light transmission through at leastone of the one or more optical fibers from the at least one lightsource; a reporting device; and a microcontroller including amicroprocessor and circuitry, wherein the circuitry includes inputcircuitry configured to receive a first set of signals from the at leastone photodetector, and receive at least one second set of signals fromthe at least one photodetector; calculation circuitry configured tocalculate a curvature delta value based on a comparison of the receivedfirst set of signals and the received at least one second set of signalsfrom the at least one photodetector, and calculate a breast volume deltavalue from the calculated curvature delta value; and reporting circuitryconfigured to transmit a signal to the reporting device based on thecalculated breast volume delta value. In addition to the foregoing,other system aspects are described in the claims, drawings, and textforming a part of the present disclosure.

In an embodiment, a breast sensor device includes, but is not limitedto, a flexible substrate fabricated to substantially conform to externalcontours of at least a portion of one or more breasts of a subject; oneor more optical fibers associated with the flexible substrate, whereinthe one or more optical fibers are dynamically bendable; and at leastone connector operably coupled to the one or more optical fibers. Inaddition to the foregoing, other device aspects are described in theclaims, drawings, and text forming a part of the present disclosure.

The foregoing summary is illustrative only and is not intended to be inany way limiting. In addition to the illustrative aspects, embodiments,and features described above, further aspects, embodiments, and featureswill become apparent by reference to the drawings and the followingdetailed description.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 is a block diagram of a wearable breast monitor.

FIG. 2 is a block diagram showing aspects of a wearable breast monitorsuch as depicted in FIG. 1.

FIG. 3 shows an embodiment of a wearable breast monitor.

FIG. 4 shows an embodiment of a wearable breast monitor.

FIG. 5A is a frontal view of an embodiment of a wearable breast monitoron a breast.

FIG. 5B is a side view of an embodiment of a wearable breast monitor ona breast.

FIG. 6A is a frontal view of an embodiment of a wearable breast monitoron a breast.

FIG. 6B is a side view of an embodiment of a wearable breast monitor ona breast.

FIG. 7A is a frontal view of an embodiment of a wearable breast monitoron a breast.

FIG. 7B is a side view of an embodiment of a wearable breast monitor ona breast.

FIG. 8 shows an embodiment of a wearable breast monitor.

FIG. 9 shows an embodiment of a wearable breast monitor.

FIG. 10 shows an embodiment of a wearable breast monitor associated witha brassiere.

FIG. 11 shows an embodiment of a wearable breast monitor associated witha nursing bra.

FIG. 12 shows an embodiment of an optical fiber pattern on a flexiblesubstrate of a wearable breast monitor.

FIG. 13 shows an embodiment of an optical fiber pattern on a flexiblesubstrate of a wearable breast monitor.

FIG. 14 shows an embodiment of an optical fiber pattern on a flexiblesubstrate of a wearable breast monitor.

FIG. 15 shows an embodiment of an optical fiber pattern on a flexiblesubstrate of a wearable breast monitor.

FIG. 16 shows an embodiment of an optical fiber pattern on a flexiblesubstrate of a wearable breast monitor.

FIG. 17 shows calculations related to determining breast volume deltasfrom curvature deltas.

FIG. 18 is a block diagram of an embodiment of breast monitoring system.

FIG. 19 is a block diagram of an embodiment of breast monitoring system.

FIG. 20 illustrates an embodiment of a breast monitoring system.

FIG. 21 illustrates an embodiment of a breast monitoring system.

FIG. 22 shows a block diagram of a method for monitoring breastfeeding.

FIG. 23 shows a block diagram of a method for monitoring breastfeeding.

FIG. 24 shows a block diagram of an embodiment of a breast sensordevice.

FIG. 25 illustrates an embodiment of a breast sensor device.

FIG. 26 illustrates an embodiment of a breast sensor device.

FIG. 27 shows a block diagram of an embodiment of a breast monitoringsystem including a breast sensor device.

FIG. 28 illustrates an embodiment of a breast monitoring systemincluding a breast sensor device.

FIG. 29 illustrates an embodiment of a breast monitoring systemincluding a breast sensor device.

FIG. 30 illustrates an embodiment of a breast monitoring systemincluding a breast sensor device.

DETAILED DESCRIPTION

In the following detailed description, reference is made to theaccompanying drawings, which form a part hereof. In the drawings,similar symbols typically identify similar components, unless contextdictates otherwise. The illustrative embodiments described in thedetailed description, drawings, and claims are not meant to be limiting.Other embodiments may be utilized, and other changes may be made,without departing from the spirit or scope of the subject matterpresented here.

Described herein are systems, devices, and methods for monitoringbreastfeeding. In an aspect, the systems, devices, and methods formonitoring breastfeeding include a device intended for application to amammalian breast and including one or more optical fibers for use inmeasuring changes in the curvature of the breast before, during, and/orafter a breastfeeding event. The changes in curvature can be correlatedwith changes in breast volume to calculate a volume of milk expressedfrom the breast during the breastfeeding event.

An optical fiber can act as a waveguide or “light guide,” guiding lightintroduced at one end of the guide through to the other end. The amountof light transmitted through the optical fiber is altered when theoptical fiber is bent. For example, light rays entering the opticalfiber within a cone defined by the numerical aperture correspond to raysthat are incident at the core/cladding interface of a straight fiber atan angle larger than the critical angle and thus reflected, whereas rayshaving a smaller incident angle are refracted and escape from the fibercore. Fiber bending can cause a change in the incidence angle at thecore-cladding interface, so even rays that are within the acceptancecone can be incident at the core/cladding interface with an anglesmaller than the critical angle, and thus radiated with a reduction inthe received power at the fiber end.

FIG. 1 shows a block diagram illustrating non-limiting aspects of awearable breast monitor for calculating changes in breast volume duringa breastfeeding event using optical fibers. Wearable breast monitor 100includes flexible substrate 110. Flexible substrate 110 is fabricated tosubstantially conform to external contours of at least a portion of oneor more breasts of a subject. For example, the flexible substrate caninclude a flexible strip, flexible sheet, or garment fabricated tosubstantially conform to the external contours, i.e., the skin surface,of at least a portion of one or more breasts of a nursing mother.Wearable breast monitor 100 further includes one or more optical fibers120 associated with the flexible substrate 110. For example, the one ormore optical fibers can be attached to, incorporated into, or woven intothe flexible substrate of the wearable breast monitor. The one or moreoptical fibers 120 are dynamically bendable. For example, the one ormore optical fibers are fabricated with materials that allow for dynamicbending and straightening as the volume and associated curvature of thebreast changes during a breastfeeding event. Wearable breast monitor 100further includes at least one light source 130 operably coupled to theone or more optical fibers 120. For example, a light emitting diode canbe positioned to transmit light into one end of the one or more opticalfibers. Wearable breast monitor 100 further includes at least onephotodetector 140 positioned to detect light reception from the one ormore optical fibers 120. In some embodiments, the at least onephotodetector 140 is positioned at an end of the one or more opticalfibers 120. In some embodiments, the at least one photodetector 140 isposition along a length of the one or more optical fibers 120. In someembodiments, the at least one photodetector 140 is positioned to detectlight transmitted through the one or more optical fibers 120. In someembodiments, the at least one photodetector 140 is positioned to detectlight reflected from the one or more optical fibers 120. In someembodiments, the at least one photodetector 140 is positioned to detectlight refracted from the one or more optical fibers 120. Wearable breastmonitor 100 further includes reporting device 150. In some embodiments,reporting device 150 is configured to directly report information to auser, i.e., the subject wearing or using the wearable breast monitor.For example, an audio, haptic, or optical reporting device can be usedto report information to a nursing mother before, during, or after abreastfeeding event. In an aspect, the user is an individual (e.g., ahealthcare provider or lactation consultant) monitoring a nursing motherand/or a nursing infant during a breastfeeding event. In someembodiments, reporting device 150 is configured to report information toan external device. For example, the reporting device can include atransmission unit and antenna for transmitting information to anexternal device, e.g., a smart phone. Wearable breast monitor 100further includes microcontroller 160 including microprocessor 170 andcircuitry 180. Circuitry 180 includes input circuitry 182 configured toreceive a first set of signals from the at least one photodetector 140,and receive at least one second set of signals from the at leastphotodetector 140. Circuitry 180 includes calculation circuitry 184configured to calculate a curvature delta value based on a comparison ofthe received first set of signals and the received second set of signalsfrom the at least one photodetector 140, and calculate a breast volumedelta value from the calculated curvature delta value. Changes in breastvolume during a breastfeeding event can be correlated with a volume oran amount of milk expressed during the breastfeeding event. Circuitry180 further includes reporting circuitry 186 configured to transmit asignal to the reporting device 150 based on the calculated breast volumedelta value.

FIG. 2 illustrates further aspects of a wearable breast monitor.Wearable breast monitor 100 includes a flexible substrate 110. Theflexible substrate is fabricated to substantially conform to theexternal contours (e.g., the skin surface) of at least a portion of oneor more breasts of a subject. In an aspect, the flexible substrate ofthe wearable breast monitor including the one or more optical fibers issized to cover at least a portion of the superolateral, superomedial,inferolateral, and/or inferomedial quadrants of the breast. In anaspect, the flexible substrate of the wearable breast monitor is sizedto cover at least a portion of the upper outer, upper inner, lowerouter, and/or lower inner portions of the breast. In an aspect, theflexible substrate of the wearable breast monitor is sized to cover theentirety of the breast.

The flexible substrate of the wearable breast monitor can take any of anumber of forms sized to substantially conform to external contours ofat least a portion of one or more breasts of a subject. For example, theflexible substrate can take the form of one or more strips or patcheshaving a rectangular, square, trapezoid, polygon, triangular, circular,or oval shape configured for placement on a skin surface of one or morebreasts of a nursing mother. For example, the flexible substrate cantake the form of a sleeve that fits over at least a portion of thebreast. For example, the flexible substrate can take the form of agarment.

In some embodiments, flexible substrate 110 of wearable breast monitor100 covers only a portion of the breast. In an embodiment, flexiblesubstrate 110 is a flexible strip 200 fabricated to substantiallyconform to the external contours of at least a portion of at least oneof the one or more breasts of the subject. For example, the flexiblesubstrate of the wearable breast monitor can include a flexible stripformed from a flexible material and configured for placement on the skinsurface of a breast of a nursing mother. The flexible strip can take theform of a rectangular, square, trapezoid, polygon, triangular, circular,or oval shape configured for placement on or adherence to a skin surfaceof a breast. For example, the flexible substrate of the wearable breastmonitor can include a flexible strip sized for placement on at least aportion of the superolateral, superomedial, inferolateral, and/orinferomedial quadrants of the breast. The flexible substrate can includea series of interconnected flexible strips sized for placement on theskin surface of the breast. The flexible substrate can include a longstrip of flexible material sized to span from a medial edge to a lateraledge of the breast or from an upper edge to a lower edge of the breast.In some embodiments, the flexible substrate can include a long strip offlexible material sized to encircle a portion of the breast. In someembodiments, the flexible strip 200 is adhered to the surface of thebreast with, e.g., a biocompatible, pressure sensitive adhesive. In someembodiments, flexible strip 200 is sized for placement between theexternal contours of the at least a portion of at least one of the oneor more breasts of the subject and a brassiere. In some embodiments, theflexible strip 200 is attached to an inner surface of the brassiere. Forexample, a wearable breast monitor can include a flexible substrate thatis a flexible strip sized to be worn on the inside surface of a nursingbra.

In some embodiments, flexible substrate 110 of wearable breast monitor100 is a flexible sleeve 202 fabricated to substantially conform to theexternal contours of at least a portion of at least one of the one ormore breasts of the subject. For example, the flexible substrate caninclude a flexible material, e.g., a stretchable fabric, knit, or mesh,sized to fit over a breast. In some embodiments, the flexible sleeve 202is adhered to the surface of the breast. For example, the flexiblesleeve can include a biocompatible, pressure sensitive adhesive toadhere the flexible sleeve to the surface of the breast. In someembodiments, flexible sleeve 202 is sized for placement between theexternal contours of the at least a portion of at least one of the oneor more breasts of the subject and a brassiere. In some embodiments, theflexible sleeve 202 is attached to an inner surface of the brassiere.For example, the flexible sleeve forming the flexible substrate of awearable breast monitor can be sized to be worn on the inside surface ofa brassiere or nursing bra.

In some embodiments, flexible substrate 110 is a flexible garment 204fabricated to substantially conform to the external contours of at leasta portion of the one or more breasts of the subject. In an aspect,flexible garment 204 is a brassiere. For example, the flexible garmentcan include a standard bra, sports bra, or other form-fittingundergarment. In an aspect, flexible garment 204 is a nursing bra. Forexample, the flexible substrate can be a nursing bra into which theoptical fibers, photodetectors, reporting device, and microcontrollerhave been incorporated to form the wearable breast monitor. In someembodiments, the flexible garment is fabricated in a range of sizes toaccommodate a variety of cup and chest sizes. In some embodiments, theflexible garment is fabricated in a limited number of sizes and isconfigured to stretch to accommodate a variety of cup and chest sizes.Other non-limiting examples of flexible garments include form-fittingshirts, bustiers, camisoles, tube tops, and the like.

The flexible substrate of the wearable breast monitor is at least one ofbendable, stretchable, elastic, fitted, or form-fitting. In someembodiments, the flexible substrate is fabricated from a thin sheet ofdynamically bendable material. For example, the flexible substrate caninclude a thin sheet of paper or other cellulose-based material. Forexample, the flexible substrate can include a metallic foil (e.g.,stainless steel, molybdenum, or aluminum foils). For example, theflexible substrate can include a thin sheet of flexible plastic orpolymer film formed from, for example, poly(ethylene terephthalate)(PET), poly(ethylene naphthalate) (PEN), or polyimide (PI).

In some embodiments, the flexible substrate is fabricated from a fabric.Non-limiting examples of fabric include natural fabrics, e.g., cotton orwool, and synthetic fabrics, e.g., nylon, rayon, or polyester. Forexample, a flexible strip, sleeve, or garment can be formed from one ormore natural and/or synthetic fabrics. In some embodiments, the fabricis a woven fabric, e.g., a loom woven or knit fabric. In someembodiments, the fabric is a nonwoven fabric, e.g., fabric-like materialformed from long fibers bonded together by chemical, mechanical, heat,or solvent treatment. Non-limiting examples include rayon, poly(ethyleneterephthalate (PET), and polypropylene.

In some embodiments, the flexible substrate is fabricated from astretchable or elastomeric fabric. In some embodiments, the flexiblesubstrate includes a stretchable fabric with 2-way stretch. In someembodiment, the flexible substrate includes a stretchable fabric with4-way stretch. In some embodiments, the flexible substrate includes amaterial with stretch memory, e.g., a cotton, polyester, nylon blend.Non-limiting examples of stretchable fabric includes a knit fabric(e.g., cotton knit or cotton knit blend), synthetic polymer, spandex,elastane, lycra, nylon, polyester, polyurethane, or olefin fiber.

In some embodiments, the flexible substrate is fabricated from aform-fitting material that substantially conforms to the externalcontours of the at least one portion of the one or more breasts of thesubject. For example, the flexible substrate can be formed from aform-fitting material that is a stretchable or elastomeric fabric, e.g.,a knit fabric, synthetic polymer, spandex, elastane, lycra, nylon,polyester, polyurethane, or olefin fiber. For example, the flexiblesubstrate can be formed from a form-fitting that conforms to theexternal contours of a breast, e.g., a “shrink-wrap” type material. Inan aspect, only a portion of the flexible substrate includes aform-fitting material. For example, flexible garment, e.g., a brassiere,may include form-fitting material only in the cups of the brassiere.

In an aspect, at least a portion of the flexible substrate includes asoft fabric. In an aspect, at least one surface of the flexiblesubstrate includes a soft fabric. For example, a portion of the flexiblesubstrate intended to come in contact with a nursing infant (e.g., thenursing infant's cheek) can include a soft fabric or material compatiblewith the infant's skin. For example, the soft fabric can include afleece, flannel, faux fur, soft cotton, satin, silk, and the like.

FIGS. 3, 4, 5A, 5B, 6A, and 6B show non-limiting examples of a wearablebreast monitor having a flexible substrate that is a flexible strip.FIG. 3 shows a non-limiting example of a wearable breast monitor 300including flexible strip 310. Wearable breast monitor 300 includes oneor more optical fibers 320 associated with flexible strip 310. Opticalfibers 320 are dynamically bendable. In this non-limiting example, theone or more optical fibers 320 are shown positioned parallel to oneanother. Wearable breast monitor 300 further includes at least one lightsource 130 operably coupled to the one or more optical fibers 320 and atleast one photodetector 140 positioned to detect light reception fromthe one or more optical fibers 320. In this non-limiting example, the atleast light source 130 is operably coupled at a first end of the one ormore optical fibers and the at least one photodetector 140 is positionedto detect light reception at a second end of the one or more opticalfibers 320. In some embodiments, the at least one photodetector 140 canbe positioned somewhere along the length of the one or more opticalfibers 320. Wearable breast monitor 300 further includes reportingdevice 150 and microcontroller 160 including a microprocessor andcircuitry, wherein the circuitry includes input circuitry configured toreceive a first set of signals from the at least one photodetector 140,and receive at least one second set of signals from the at least onephotodetector 140; calculation circuitry configured to calculate acurvature delta value based on a comparison of the received first set ofsignals and the received at least one second set of signals from the atleast one photodetector 140, and calculate a breast volume delta valuefrom the calculated curvature delta value; and reporting circuitryconfigured to transmit a signal to the reporting device 150 based on thecalculated breast volume delta value.

FIG. 4 shows an embodiment of a wearable breast monitor 400 includingflexible substrate 410. Wearable breast monitor 400 includes one or moreoptical fibers 420 associated with flexible strip 410. Optical fibers420 are dynamically bendable. In this non-limiting example, the one ormore optical fibers are shown forming a U-shape. Wearable breast monitor400 further includes at least one light source 130 operably coupled tothe one or more optical fibers 420 and at least one photodetector 140positioned to detect light reception from the one or more optical fibers420. In this non-limiting example, the at least light source 130 isoperably coupled at a first end of the one or more optical fibers 420forming the U-shape and the at least one photodetector 140 is positionedto detect light transmission at a second end of the one or more opticalfibers 420 forming the U-shape. In some embodiments, the at least onephotodetector 140 can be positioned somewhere along the length of theone or more optical fibers 420. Wearable breast monitor 400 furtherincludes reporting device 150 and microcontroller 160 including amicroprocessor and circuitry, wherein the circuitry includes inputcircuitry, calculation circuitry, and reporting circuitry configured toreceive and process information from the at least one photodetector 140to calculate a breast volume delta value and to transmit information toreporting device 150 based on the breast volume delta value.

FIGS. 5A and 5B show a non-limiting embodiment of a wearable breastmonitor that includes a flexible substrate that is a single flexiblestrip. FIG. 5A shows a frontal view of wearable breast monitor 500including flexible substrate 510 associated with a frontal view of abreast 520 including nipple 530. Wearable breast monitor 500 furtherincludes one or more optical fibers, at least one light source, at leastone photodetector, a reporting device and a microcontroller including amicroprocessor and circuitry. In this non-limiting example, wearablebreast monitor 500 has a flexible substrate 510 positioned on breast 520with one end in proximity to nipple 530 and a second end of positionedtowards the lateral side of breast 520. In some embodiments, wearablebreast monitor 500 includes an adhesive on at least one surfaceconfigured to firmly adhere the device to the skin surface of breast520. FIG. 5B shows a side view of breast 520 with nipple 530. Also shownis wearable breast monitor 500 including flexible substrate 510positioned on the surface of breast 520.

FIGS. 6A and 6B show a non-limiting embodiment of a wearable breastmonitor that includes a flexible substrate that includes a radialpattern of flexible strips. FIG. 6A shows wearable breast monitor 600including flexible substrate 610 associated with a frontal view of abreast 620 including nipple 630. In this non-limiting example, wearablebreast monitor 600 includes a cross-pattern of flexible strips thatincludes nipple access portion 615 defined by the flexible substrate 610and includes an aperture sized to accommodate nipple 630 of breast 620.The flexible substrate 610 of wearable breast monitor 600 radiates outfrom the nipple in several directions to allow measurement of changes inbreast curvature during a breastfeeding event. Wearable breast monitor600 further includes one or more optical fibers, at least one lightsource, at least one photodetector, a reporting device and amicrocontroller including a microprocessor and circuitry. In someembodiments, wearable breast monitor 600 includes an adhesive on atleast one surface configured to firmly adhere the device to the skinsurface of breast 620. FIG. 6B shows a side view of breast 620 withnipple 630. Also shown is wearable breast monitor 600 with flexiblesubstrate 610 and nipple access portion 615 positioned on the surface ofbreast 620.

In some embodiments, flexible substrate 110 is a flexible sleevefabricated to substantially conform to the external contours of at leasta portion of at least one of the one or more breasts of the subject. Forexample, the flexible substrate can include a sleeve fabricated fromflexible form-fitting material, e.g., a stretchable fabric, sized to fitover a breast, e.g., slipped onto or over the breast region of thesubject. FIGS. 7A, 7B, 8, and 9 show non-limiting embodiments of awearable breast monitor. FIGS. 7A and 7B show a non-limiting example ofa wearable breast monitor including a flexible substrate that is aflexible sleeve. FIG. 7A shows a frontal view of wearable breast monitor700 including flexible substrate 710 associated with breast 720including nipple 730. Wearable breast monitor 700 further includesnipple access portion 715 defined by flexible substrate 710 andincluding an aperture to accommodate nipple 730. Wearable breast monitor700 further includes one or more optical fibers, at least one lightsource, at least one photodetector, a reporting device and amicrocontroller including a microprocessor and circuitry. In thisnon-limiting example, wearable breast monitor 700 includes a flexiblesubstrate 710 that is a flexible sleeve that fits snuggly around breast720 and allows for access to nipple 730 through nipple access portion715. FIG. 7B shows a side view of breast 720 including nipple 730 andwearable breast monitor 700 attached to the breast surface and includingflexible substrate 710 and nipple access portion 715. In someembodiments, the flexible substrate 710 of wearable breast monitor 700is adhered to the surface of breast 720. In some embodiments, theflexible substrate 710 of wearable breast monitor 700 is sized forplacement between the external contours of the breast 720 and abrassiere. For example, the flexible sleeve can be sized to be worn onthe inside surface of a nursing bra. In some embodiments, the flexiblesubstrate 710 of wearable breast monitor 700 is attached to an innersurface of the brassiere.

FIG. 8 shows an embodiment of a wearable breast monitor. In thisnon-limiting example, wearable breast monitor 800 includes flexiblesubstrate 710 and nipple access portion 715. Wearable breast monitor 800further includes one or more optical fibers 820 associated with flexiblesubstrate 710, wherein the one or more optical fibers are dynamicallybendable. In this non-limiting example, the one or more optical fibers820 form a ring associated with the flexible substrate 710 with a firstend operably coupled to at least one light source 130 and a second endin proximity to at least one photodetector 140 positioned to detectlight reception from the one or more optical fibers 820. Wearable breastmonitor 800 further includes reporting device 150 and microcontroller160 including a microprocessor and circuitry, the circuitry includinginput circuitry configured to receive a first set of signals from the atleast one photodetector 140, and receive at least one second set ofsignals from the at least one photodetector 140; calculation circuitryconfigured to calculate a curvature delta value based on the comparisonof the received first set of signals and the received at least onesecond set of signals, and calculate a breast volume delta value fromthe calculated curvature delta value; and reporting circuitry configuredto transmit a signal to the reporting device 150 based on the calculatedbreast volume delta value.

FIG. 9 shows an embodiment of a wearable breast monitor. Wearable breastmonitor 900 includes flexible substrate 710 including nipple accessportion 715. Wearable breast monitor 900 further includes one or moreoptical fibers 920 associated with flexible substrate 710. In thisnon-limiting example, the one or more optical fibers 920 form multipleU-shapes on the flexible substrate 710 in which the optical fibers 920loop back on themselves. Wearable breast monitor 900 further includes atleast one light source 130 operably coupled to the one or more opticalfibers 920 and at least one photodetector 140 positioned to detect lightreception from the one or more optical fibers 920. In this non-limitingexample, each of the U-shaped configurations of optical fibers 920includes at least one light source 130 and at least one photodetector140. Wearable breast monitor 900 further includes reporting device 150and microcontroller 160 including a microprocessor and circuitry,wherein the circuitry includes input circuitry, calculation circuitry,and reporting circuitry configured to receive and process informationfrom the at least one photodetector 140 to calculate a breast volumedelta value and to transmit information to reporting device 150 based onthe breast volume delta value.

In an aspect, the flexible substrate of the wearable breast monitorincludes an adhesive layer on at least one surface. In some embodiments,a wearable breast monitor having a flexible substrate in the form of astrip or a sleeve is configured for reversible attachment to the skinsurface of the at least a portion of the one or more breasts of thesubject. In some embodiments, the flexible substrate includes anadhesive layer on a surface of the flexible substrate intended to comein contact with the external contours of the at least a portion of theat least one of the one or more breasts of a subject. For example, theflexible substrate, e.g., a flexible strip, can include a biocompatibleand reversible adhesive for temporarily adhering the flexible substrateto the surface of a breast of a nursing mother. In some embodiments, theflexible substrate includes an adhesive layer on a surface of theflexible substrate intended to come in contact with an inner surface ofa brassiere. For example, the flexible substrate, e.g., a flexiblesleeve, can include an adhesive for adhering the flexible substrate tothe inner surface of a nursing bra. In an aspect, the adhesive isreusable. For example, the flexible substrate including the adhesive canbe attached and removed from the surface of the breast of a nursingmother one or more times. For example, the flexible substrate includingthe adhesive can be attached and removed from the inner surface of anursing bra one or more times. In an aspect, the flexible substrateincludes an adhesive on a first surface of the flexible substrateintended to come in contact with the external contours of the at least aportion of the at least one of the one or more breasts of the subjectand on a second surface of the flexible substrate intended to come incontact with an inner surface of a bra. In this way, the flexiblesubstrate can be held in place during a breastfeeding event.

In an aspect, the adhesive layer includes, but is not limited to, anacrylic adhesive, a natural rubber adhesive, synthetic rubber adhesive,silicone adhesive, vinyl ester adhesive, vinyl ether adhesive, acrylicor vinyl water-containing adhesive and the like conventionally used formedical applications. The thickness of the adhesive layer is generally5-2000 microns, preferably 10-1000 microns. In an aspect, at least onesurface of the flexible substrate includes a reversible adhesive. In anaspect, the adhesive includes a pressure-sensitive adhesive. In anaspect, the pressure-sensitive adhesive includes a rubber basedpressure-sensitive adhesive, an acrylic based pressure-sensitiveadhesive, a silicone based pressure-sensitive adhesive, or the like. Forexample, a surface of the flexible substrate intended for placement onthe breast region of the lactating female can include a pressuresensitive adhesive. In some embodiments, the reversible adhesive can beone or more pressure sensitive adhesives, e.g., adhesive tape,applicable for skin contact. For example, the wearable breast monitorcan be adhered to the surface of a breast with one or more strips ofmedical-rated double-stick tape. As another example, the wearable breastmonitor can be adhered to the surface of a breast with a coating ofadhesive, e.g., URO-Bond® IV Silicone Skin Adhesive (from, UROCAREProducts, Pomona, Calif.). Non-limiting examples of adhesives designedfor healthcare use include any of a number of silicone-based pressuresensitive adhesives from, for example, Dow Corning, Midland, Mich. or3M, St. Paul, Minn.

In an aspect, the adhesive layer on at least one surface of the flexiblesubstrate includes a pressure-sensitive adhesive coating on the surfaceof a thin film. In an aspect, the pressure-sensitive adhesive coatingcovers at least a portion of at least one surface of the thin film. Inan aspect, the one or more thin films are stackable. In an aspect,peeling away a thin film on the top of a stack of thin films reveals anunderlying thin film including a pressure-sensitive adhesive coating.For example, the flexible substrate can include a stack of peelable thinfilms, each thin film including an adhesive (e.g., a pressure-sensitiveadhesive coating) on a surface of the thin film intended to be incontact with the skin surface of the breast and/or the inner surface ofa brassiere.

In some embodiments, a wearable breast monitor having a flexiblesubstrate in the form of a strip or sleeve is configured for placementbetween the skin surface of the breast of the subject and a form-fittinggarment. For example, the strip or sleeve forming the wearable breastmonitor can be placed on the skin surface of the breast and held inplace with a tight fitting shirt, tube-top, or undergarment. Forexample, the strip or sleeve forming the wearable breast monitor can beplaced on the skin surface of the breast and held in place with a tightfitting brassiere or nursing bra.

In some embodiments, a wearable breast monitor having a flexiblesubstrate in the form of a flexible strip or a flexible sleeve isconfigured for attachment to a garment. In an aspect, the garment isfabricated from a form-fitting material and the flexible strip orflexible sleeve forming the wearable breast monitor is attached to asurface of the garment. In an aspect, the garment includes a shirt, atube top, or an undergarment. In some embodiments, the wearable breastmonitor is attached to an outer surface of the garment. In someembodiments, the wearable breast monitor is attached to an inner surfaceof the garment. For example, the wearable breast monitor can beconfigured for attachment to an inner surface of a cup region of anursing bra or similar garment. In an aspect, the flexible strip orflexible sleeve forming the wearable breast monitor is attached to aninner surface of a garment through one or more of an adhesive, snaps,VELCRO, or similar attachment means.

In some embodiments, the flexible substrate is a brassiere. FIG. 10shows a non-limiting example of a wearable breast monitor incorporatedinto a brassiere. Wearable breast monitor 1000 includes flexiblesubstrate 1010. In this non-limiting example, flexible substrate 1010takes the form of a typical brassiere including cups 1012 intended tofit snuggly around each of the breasts and straps 1014 intended tosupport the breasts in cups 1012. In some embodiments, the flexiblesubstrate can include a dedicated nursing bra. Wearable breast monitor1000 further includes optical fibers 1020 arranged in a pattern on or inthe cups 1012 of flexible substrate 1010. In this non-limiting example,the optical fibers 1020 span from the medial side to the lateral side ofcups 1012. Also in this non-limiting example, at least one light source130 is positioned on the lateral side of each cup 1012 while at leastone photodetector 140 is position on the medial side of each cup 1012.Light source 130 is operably coupled to a first end of optical fibers1020 and at least one photodetector 140 is operably coupled to a secondend of optical fibers 1020. In some embodiments, at least onephotodetector 140 is positioned along the length of optical fibers 1020.Wearable breast monitor 1000 further includes microcontroller 160including a microprocessor and circuitry, wherein the circuitry includesinput circuitry configured to receive a first set of signals from the atleast one photodetector 140; and receive at least one second set ofsignals from the at least one photodetector 140; calculation circuitryconfigured to calculate a curvature delta value based on a comparison ofthe received first set of signals and the received at least one secondset of signals from the at least one photodetector 140; and reportingcircuitry configured to transmit a signal to the reporting device 150based on the calculated breast volume delta value. Reporting device 150can include a haptic reporting device, an audio reporting device, anoptical reporting device and/or a transmission unit configured totransmit a signal including information regarding a calculated breastvolume delta value.

In an aspect, a wearable breast monitor is incorporated into a nursingbra. In some embodiments, a wearable breast monitor includes a nippleaccess portion defined by the flexible substrate, wherein the nippleaccess portion includes an aperture sized to accommodate a nippleassociated with the breast. In an aspect, the wearable breast monitorfurther includes a nipple access covering, wherein the nipple accesscovering is sized to cover at least a portion of the nipple accessportion. In some embodiments, the nipple access covering is an extensionof the flexible substrate sized to cover the nipple access portion andincludes at least one fastener configured to reversibly attach theextension of the flexible substrate to the flexible substrate over thenipple access portion. In some embodiments, the nipple access coveringis a separate piece of material sized to cover the nipple access portionand includes at least one fastener configured to reversibly attach theseparate piece of material to the flexible substrate over the nippleaccess portion. For example, the nipple access covering can be formedfrom the same material as the flexible substrate. For example, thenipple access covering can be formed from a material that is differentfrom the flexible substrate. In an aspect, the fastener includes atleast one of a snap, a button, a zipper, a hook and loop fastener,VELCRO, or an adhesive. In an aspect, the nipple access covering is heldon and/or over the nipple access portion by virtue of friction with theflexible substrate material.

FIG. 11 illustrates a non-limiting example of a wearable breast monitorincluding a nipple access portion and nipple access covering. Wearablebreast monitor 1100 includes flexible substrate 1110. In thisnon-limiting example, flexible substrate 1110 takes the form of anursing bra including cups 1112 intended to fit snuggly around each ofthe breasts and straps 1114 intended to support the breasts in cups1112. Wearable breast monitor 1100 further includes nipple accessportion 1130 defined by flexible substrate 1110, wherein nipple accessportion 1130 includes an aperture sized to accommodate a nippleassociated with a subject's breast (not shown). Wearable breast monitor1100 further includes nipple access covering 1140 sized to cover atleast a portion of nipple access portion 1130. In this non-limitingexample, nipple access covering 1140 is a separate piece of materialsized to cover the nipple access portion 1130 and including at least onefastener (not shown) configured to reversibly attach the separate pieceof material to flexible substrate 1110 over nipple access portion 1130.Wearable breast monitor 1100 further includes optical fibers 1120arranged in a pattern on or in the cups 1112 of flexible substrate 1110.In this non-limiting example, the optical fibers 1120 form a gridpattern on cups 1112. In this non-limiting example, wearable breastmonitor 1100 includes at least one light source 130 and at least onephotodetector 140 positioned in a central portion of the wearable breastmonitor 1100 between cups 1112. It is contemplated that the lightsources and the photodetectors can be located in other locations on thewearable breast monitor, depending upon the positioning of the opticalfibers and what type of light reception is being measured from saidoptical fibers. Wearable breast monitor 1100 further includesmicrocontroller 160 including a microprocessor and circuitry, whereinthe circuitry includes input circuitry configured to receive a first setof signals from the at least one photodetector 140; and receive at leastone second set of signals from the at least one photodetector 140;calculation circuitry configured to calculate a curvature delta valuebased on a comparison of the received first set of signals and thereceived at least one second set of signals from the at least onephotodetector 140; and reporting circuitry configured to transmit asignal to the reporting device 150 based on the calculated breast volumedelta value. Reporting device 150 can include a haptic reporting device,an audio reporting device, an optical reporting device and/or atransmission unit configured to transmit a signal including informationregarding a calculated breast volume delta value.

Returning to FIG. 2, wearable breast monitor 100 includes one or moreoptical fibers 120 associated with the flexible substrate 110. In anaspect, the optical fiber is a cylindrical dielectric waveguide thattransmits light along its axis by a process of total internalreflection. In an aspect, the optical fiber includes a core surroundedby a cladding layer. In an aspect, both the core and the cladding layersare made of dielectric materials. In an aspect, the refractive index ofthe core is greater than the refractive index of the cladding. In anaspect, the optical fiber is a step-index fiber with an abrupt boundarybetween the core and the cladding. In an aspect, the optical fiber is agraded-index fiber with a gradual boundary between the core and thecladding. In an aspect, the one or more optical fibers are single modefibers with a relatively narrow diameter through which only one modewill propagate. In an aspect, single mode fibers are coupled with anarrow spectral width light source. In an aspect, the one or moreoptical fibers are multimode fibers.

In an aspect, the one or more optical fibers 120 are one or more plasticoptical fibers 206. In an aspect, the one or more optical fibers 120 areone or more polymer optical fibers 208. In an aspect, the one or moreoptical fibers 120 are one or more acrylic optical fibers 210. Forexample, the one or more optical fibers can include a core formed fromacrylic polymer PMMA (polymethyl-methacrylate) or polystyrene andcladding formed from fluorinated polymers or silicone resin. In anaspect, the one or more optical fibers can include graded-index (GI-POF)fiber based on an amorphous fluoropolymer, e.g.,poly(perfluoro-butenylvinyl ether) (CYTOP). In some embodiments, theplastic or polymer optical fibers have a core/cladding interface thatincludes a step-index profile. In some embodiments, the plastic orpolymer optical fibers have a core/cladding interface that includes agraded-index profile. In general, plastic or polymer optical fibers(POFs) are available from commercial sources, e.g., Edmund Optics, Inc.,Barrington, N.J.

In an aspect, the one or more optical fibers 120 are one or more glassoptical fibers 212. In an aspect, all or part of the one or more opticalfibers are formed from silica glass. In an aspect, all or part of theone or more optical fibers are formed from silica glass doped withvarious materials to change the refractive index. For example, thesilica glass can be doped with germanium dioxide or aluminum oxide toraise the refractive index. For example, the silica glass can be dopedwith fluorine or boron trioxide to lower the refractive index. Dependingupon the desired refractive properties of the optical fiber, the coreand/or the cladding can be doped. In an aspect, the one or more opticalfibers are formed from aluminosilicate glass, germanosilicate glass,fluorosilicate glass, phosphosilicate glass, or borosilicate glass.Other non-limiting examples of glasses for use in forming optical fibersinclude fluorozirconate glass, fluoroaluminate glass, and chalcogenideglasses. Other crystalline materials can be used including, for example,sapphire. In an aspect, the one or more optical fibers are formed fromfluoride glasses. For example, the one or more optical fibers can beformed from fluoride glass composed of fluorides of various metals, Forexample, the one or more optical fibers can be formed from heavy metalfluoride glasses. For example, the one or more glass fibers can beformed from the ZBLAN glass group including fluoride glass includingzirconium, barium, lanthanum, aluminum, and sodium fluorides.

In an aspect, the one or more optical fibers 120 are formed fromphosphate glass. For example, the one or more optical fibers can includea phosphate glass formed from metaphosphates of various metals. Forexample, the one or more optical fibers can include phosphoruspentoxide. In some embodiments, the one or more optical fibers areformed from a combination of fluoride and phosphate glass (e.g.,fluorophosphate glass).

In an aspect, the one or more optical fibers 120 are formed fromchalcogenide glass. For example, the one or more optical fibers areformed from a combination of chalcogens (elements in group 16 of theperiodic table, e.g., sulfur, selenium, and tellurium) and moreelectropositive elements (e.g., silver).

In some embodiments, the one or more optical fibers 120 are photoniccrystal fibers 214. In an aspect, the one or more optical fibers aremicrostructured or holey fibers that include photonic crystal to formthe cladding around the core of the fiber. For example, the one or moreoptical fibers can include a central core and a cladding comprised ofhexagonal air holes formed in silica. See, e.g., Roberts, et al.“Ultimate low loss of hollow-core photonic crystal fibres,” OpticsExpress, 13:236-244, which is incorporated herein by reference. Photoniccrystal fibers with a hollow core are available from commercial sources(from, e.g., NKT Photonics, Ontario, Canada). The photonic crystalfibers can include air guided, nonlinear, polarization maintaining,endlessly single mode, or large-mode-area fibers (see, e.g., Thorlabs,Inc., Newton, N.J.). In an aspect, the wearable breast monitor includesone or more photonic crystal fibers, wherein the calculation circuitry184 is configured to calculate the curvature delta value based upon adifference in optical modal structure associated with a first set ofsignals and a second set of signals.

In an aspect, an optoelectronic instrument can be used to characterize aproperty of the one or more optical fibers. In an aspect, theoptoelectronic instrument includes an optical time-domain reflectometer.In an aspect, the optical time-domain reflectometer injects a series ofoptical pulses into the fiber under tests and extracts, from the sameend of the fiber, light that is scattered (Rayleigh backscatter) orreflected back from points along the fiber. The scattered or reflectedlight is used to characterize the optical fiber. The strength of thereturn pulses can be measured and integrated as a function of time, andplotted as a function of fiber length.

In some embodiments, one or more portions along the length of the one ormore optical fibers 120 are rendered transmissive to light, and whereinthe amount of light transmitted out is dependent on the curvature of theone or more optical fibers. In some embodiments, each of the one or moreoptical fibers 120 includes an inner core and an outer cladding, whereina portion of a core/cladding interface is modified to alter lighttransmission, and wherein the amount of light transmitted out isdependent on the curvature of the one or more optical fibers.

In some embodiments, at least one of the one or more optical fibers 120has a cladding component having a first optical absorption coefficientand a core component having a second optical absorption coefficient. Inan aspect, at least one first photodetector 140 is configured to detectlight reception from the core component and at least one secondphotodetector 140 is configured to detect light reception from thecladding component; and wherein the calculation circuitry 184 isconfigured to calculate positional information related to the curvaturebased upon a difference between signals from the at least one firstphotodetector 140 and signals from the at least one second photodetector140.

In some embodiments, at least one of the one or more optical fibers 110includes one or more fiber Bragg gratings. In an aspect, the fiber Bragggratings include periodic or quasiperiodic orthogonal perturbations ofthe refractive index along the length of an optical fiber. The gratingstructure can be constructed in short segments along the length of theoptical fiber to reflect particular wavelengths of light and transmitsall others. For example, a periodic variation in the refractive index ofthe fiber core can be created to generate a wavelength-specificdielectric mirror. In an aspect, the fiber Bragg gratings are created by“inscribing” or “writing” systematic variation of refractive index intothe core of an optical fiber using an intense ultraviolet source, suchas an UV laser. The structure of the fiber Bragg grating can vary viathe refractive index, or the grating period. Grating period can beuniform or graded, and either localized or distributed in asuperstructure. The grating can be uniform, blazed, chirped, apodized,and/or superstructured.

In an aspect, the one or more optical fibers 120 are attached to theflexible substrate 110. For example, the one or more optical fibers canbe adhered with an adhesive material to the flexible substrate. Forexample, the one or more optical fibers can be sewn onto the flexiblesubstrate. In an aspect, the one or more optical fibers 120 areincorporated into the flexible substrate 110. For example, the one ormore optical fibers can be embedded into an elastic fabric during a knitfabrication process. In some embodiments, the one or more optical fibersare at least one of attached, woven, incorporated, or embedded into anexternal surface of the flexible substrate. For example, the one or moreoptical fibers can be sewn into a flexible fabric, e.g., nylon, Lycra,or similar material. See, e.g., Ghosh et al (2005) “Development of asensor-embedded flexible textile structure for apparel or large areaapplications,” Indian J Fibre & Textile Res., 30:42-48; Krebber (2013)“Smart technical textiles based on fiber optic sensors” pp. 319-344(INTECH; Current Developments in Optical Fiber Technology;dx.doi.org/10.5772/54244; accessed Nov. 17, 2016), which areincorporated herein by reference. In an aspect, the one or more opticalfibers 120 are woven into the flexible substrate 110. For example, theoptical fiber strands can be woven into a fabric-based flexiblesubstrate. See, e.g., U.S. Pat. No. 7,630,591 titled “Optical fibersubstrate useful as a sensor or illumination device component,” to Allenet al., which is incorporated herein by reference.

In an aspect, the flexible substrate 110 includes a first layer and asecond layer, and wherein the one or more optical fibers 120 aredisposed between the first and the second layer of the flexiblesubstrate. For example, the one or more optical fibers can be disposedbetween a first layer and a second layer of a cup portion of a brassiereor nursing bra. For example, the one or more optical fibers can bedisposed between a first layer and a second layer forming a flexiblestrip or flexible sleeve. In an aspect, the first layer of the flexiblesubstrate 110 and the second layer of the flexible substrate 110 areformed from a stretchable fabric. For example, the one or more opticalfibers can be disposed between two layers of stretchable spandex orpolyester fabric.

In some embodiments the wearable breast monitor includes one or moreoptical fibers arranged in a pattern on or in the flexible substrate. Insome embodiments, the optical fibers are arranged on or in the flexiblesubstrate in a linear pattern (see, e.g., FIG. 3, 320). For example, theoptical fibers can be positioned linearly on a flexible strip or sleeveforming the base of the wearable breast monitor. In some embodiments,the optical fibers are arranged on or in the flexible substrate in aloop or U-shaped pattern (see, e.g., FIG. 4, 420; FIG. 9, 920). In someembodiments, the optical fibers are arranged on or in the flexiblesubstrate in a curved pattern (see, e.g., FIG. 8, 820; FIG. 10, 1020).For example, the optical fibers can be arranged in a serpentine patternon or in the flexible substrate. For example, the one or more opticalfibers can span at least a portion of the distance around the base ofthe breast. For example, the one or more optical fibers can span adistance between the medial side and the lateral side of a breast in acurved configuration.

In an aspect, the one or more optical fibers are aligned with specificanatomical features of the breast. For example, the one or more opticalfibers can span at least a portion of the distance between the clavicleand the nipple. For example, the one or more optical fibers can span atleast a portion of the distance between the inframammary fold and thenipple. For example, the one or more optical fibers can span at least aportion of a circumference around a portion of the breast. For example,the one or more optical fibers can span at least a distance between thelateral breast crease and the nipple. For example, the one or moreoptical fibers can span at least a distance between the midline of thebreast bone and the nipple.

FIGS. 12-16 illustrate additional non-limiting examples of patterns ofoptical fibers on or in the flexible substrate of a wearable breastmonitor. In an aspect, the one or more optical fibers are arranged on orin the flexible substrate in a network. For example, the wearable breastmonitor can include one or more optical fibers forming a network over atleast a portion of the flexible substrate. In an aspect, the one or moreoptical fibers are arranged on or in the flexible substrate in a radialpattern. FIG. 12 shows a non-limiting example. In this case, wearablebreast monitor 1200 includes flexible substrate 1210 including opticalfibers 1220 shown radiating out from a nipple access portion 1215. In anaspect, the one or more optical fibers are arranged on or in theflexible substrate in a spiral pattern. FIG. 13 shows a non-limitingexample. In this case, wearable breast monitor 1300 includes flexiblesubstrate 1310 including optical fibers 1320 in a pattern spiraling outfrom nipple access portion 1315. In an aspect, at least two of the oneor more optical fibers are arranged on or in the flexible substrate inconcentric circles. FIG. 14 shows a non-limiting example. In this case,wearable breast monitor 1400 includes flexible substrate 1410 includingoptical fibers 1420 forming concentric circles centered around nippleaccess portion 1415. In an aspect, the one or more optical fibers arearranged on or in the flexible substrate in overlapping patterns. FIG.15 shows a non-limiting example. In this case, wearable breast monitor1500 includes flexible substrate 1510 including optical fibers 1520 aradiating out from nipple access portion 1515 and overlapping opticalfibers 1520 b forming concentric circles centered around nipple accessportion 1515. In an aspect, at least two of the one or more opticalfibers are proximate and non-parallel. In an aspect, a first opticalfiber overlays a second non-parallel optical fiber. In an aspect, afirst portion of at least one of the one or more optical fibers overlaysa second non-parallel portion of the at least one of the one or moreoptical fibers. In an aspect, the one or more optical fibers arearranged on or in the flexible substrate in a grid-like network. Forexample, the optical fibers can be arranged in a mesh configurationincorporated into the flexible substrate, e.g., stretchable fabric, ofthe wearable breast monitor. FIG. 16 shows a non-limiting example. Inthis case, wearable breast monitor 1600 includes flexible substrate 1610including optical fibers 1620 forming a mesh or grid-like network orpattern.

Returning to FIG. 2, wearable breast monitor 100 includes at least onelight source 130 operably coupled to the one or more optical fibers 120.The at least one light source provides light to the optical fiber waveguide. In an aspect, the at least one light source is optimized forsuitable physical dimensions, suitable radiation pattern (beam width),linearity and large dynamic ranges (output power proportional to drivingcurrent), ability to be directly modulated at high speeds (fast responsetime), adequate output power to overcome channel losses, narrow spectralwidth, thermal stability, reliability, cost considerations, directmodulation considerations, driving circuit considerations, andconversion efficiency.

In an aspect, the at least one light source 130 provides at least one ofultraviolet, visible, and/or near infrared light to the one or moreoptical fibers. In an aspect, the at least one light source 130 providesvisible light ranging from about 380 nm to about 800 nm. In someembodiments, the at least one light source 130 provides a broad spectrumof light. For example, the light source can provide white light to theone or more optical fibers. In some embodiments, the at least one lightsource 130 provides light of limited wavelength. For example, the lightsource can provide blue, green, yellow, orange, or red light to the oneor more optical fibers. In an aspect, the at least one light source isconfigured to provide a continuous stream of photons. In an aspect, theat least one light source is configured to provide a pulse of photons.

In an aspect, the at least one light source 130 includes at least onelight emitting diode (LED) 216. In an aspect, the wavelength of lightemitted by the LED is a wavelength between 550 nm and 1670 nm. In anaspect, the wavelength emitted by the LED is near infrared. In anaspect, the LED is fabricated from one or more of gallium phosphide,aluminum arsenide, gallium arsenide, indium phosphide, aluminum-galliumarsenide, or indium-gallium-arsenide-phosphide. For example, galliumaluminum arsenide might be used for short-wavelength emissions (770-870)and indium gallium arsenide phosphide might be used for long-wavelengthemissions (1100-1670 nm). Depending upon the composition of the LED, theemitting light can be shades of red, orange, yellow, green, and blue(e.g., gallium nitride (GaN) and indium gallium nitride (InGaN).Depending upon the application, the LED can be an edge-emitting LED(ELED) with high output power, narrow emission spectra, and narrow beampattern or a surface emitting LED (SLED) with low-to-moderate outputpower and a broader beam pattern. In an aspect, the LED light source hasa high radiance, fast response time, and high quantum efficiency.

In an aspect, the at least one light source 130 includes at least onelaser diode 218. In an aspect, the at least one light source includes anelectrically pumped semiconductor laser in which the active laser mediumincludes a p-n junction of a semiconductor diode. In an aspect, the atleast one light source 130 includes an injection laser diode. In anaspect, the at least one light source includes a PIN diode. Laser diodesthat emit at a variety of wavelengths are commercially available (from,e.g., Thorlabs, Inc., Newton, N.J.).

In an aspect, the at least one light source is configured to emit one ormore pulses of light. For example, the light source can include a pulsedlaser diode. In an aspect, the pulsed light source is at least one ofQ-switched, gain-switched, mode-locked, superpulsed, and/or chopped orgated. In an aspect, the pulsed light source has a frequency in the 2.5to 10,000 Hz ranges. In an aspect, the pulsed light source has pulsedurations in the range of a few milliseconds. In some embodiments,pulsed light from the at least one light source is used to detectchanges in curvature of the breast during a breastfeeding event. In anaspect, the at least one photodetector is configured to measure a timedelta between its reception of light and emission of light by the atleast one light source; and wherein the calculation circuitry isconfigured to calculate positional information related to the curvaturebased upon the time delta.

With reference to FIG. 2, wearable breast monitor 100 includes at leastone photodetector 140 positioned to detect light reception from the oneor more optical fibers 120. In an aspect, the at least one photodetector140 is positioned along the one or more optical fibers to detect lighttransmission through the one or more optical fibers 120 from the atleast one light source 130. In an aspect, the at least one photodetector140 is at an end of the optical fiber opposite of the at least one lightsource 130. In an aspect, the at least one light source is positioned ata first end of the one or more optical fibers and the at least onephotodetector is positioned at a second end of the one or more opticalfibers. For example, the at least one photodetector can be positioned atthe end of the one or more optical fibers to detect increase/decrease inlight transmitted through the one or more optical fibers in response tochanges in curvature of the breast during a breastfeeding event. In anaspect, the at least one photodetector 140 is positioned along thelength of the one or more optical fibers 120 to detect light reflectionfrom the one or more optical fibers 120. For example, the at least onephotodetector can be positioned along a length of the optical fiber todetect an increase/decrease in photons escaping from the optical fiberin response to changes in curvature of the breast during a breastfeedingevent. In an aspect, a plurality of photodetectors is positioned along alength of at least one of the one or more optical fibers.

In an aspect, a single photodetector is connected to the one or moreoptical fibers. For example, one or more optical fibers can be organizedin a pattern such that the second ends of the optical fibers areoperably coupled to the single photodetector. In an aspect, the opticalfibers are connected to a light source at the first end and aphotodetector at the second end. In between the light source and thephotodetector the optical fibers may fan out in a pattern configured tocover the at least a portion of the breast. In an aspect, each of theoptical fibers or bundles of optical fibers include a photodetector.

In some embodiments, the photodetector converts light signals fromphotons absorbed by the photodetector into voltage or current. In anaspect, the photodetector is a photodiode 220. For example, thephotodetector can include a semiconductor photodiode that convertsabsorbed light, e.g., photons, into a current. In an aspect, photodiode220 includes a p-n junction or PIN structure. In an aspect, photodiode220 is a silicon, germanium, indium gallium arsenide, and/or mercurycadmium telluride based photodiode. In an aspect, photodiode 220 has aspectral response ranging from 190 nm to 1100 nm in wavelength. In someembodiments, photodiode 220 is response to longer wavelengths ofelectromagnetic energy.

In an aspect, the photodetector is a photoemission photodetector inwhich photons cause electrons to transition from a conduction band ofmaterial to free electrons in a vacuum or gas. For example, thephotoemission photodetector can include a photomultiplier tube,photocathodes, and/or microchannel plate detectors. In an aspect, thephotodetector is a photoelectric photodetector in which photons causeelectrons to transition from a valence band to a conduction band of asemiconductor. For example, the photoelectric photodetector can includea complementary metal-oxide-semiconductor (CMOS) detector,charge-coupled devices (CCD), reverse-biased light emitting diodes,photoresistors, photodiodes, phototransistors, quantum dotphotoconductors or photodiodes. Photoelectric photodetectors areavailable from commercial sources (from, e.g., OSRAM OptoSemiconductors, Regensburg, Germany). In an aspect the photodetector isa photovoltaic photodetector in which photons cause a voltage to developacross a depletion region of a photovoltaic cell. For example, thephotovoltaic photodetector can include a type of solar cell. In someembodiments, the photodetector converts light signals from photonsabsorbed by the photodetector into heat. For example, the photodetectorcan be a thermal photodetector in which photons cause electrons totransition to mid-gap states then decay back to lower bands, inducingphonon generation and heat.

In some embodiments, the light signals from photons absorbed by thephotodetector induce polarization effects. For example, thephotodetector can be a polarization photodetector in which photonsinduce changes in polarization of suitable materials, which leads to achange in index of refraction or other polarization effects.

In some embodiments, the photodetector converts light signals fromphotons absorbed by the photodetector into a chemical reaction. Forexample, the photodetector can be a photochemical photodetector in whichphotons induce a chemical change in a material.

With reference to FIG. 2, wearable breast monitor 100 includes at leastone reporting device 150. The reporting device 150 is operably coupledto the microcontroller 160 and configured to receive one or more signalstransmitted from the reporting circuitry 186, the one or more signalsincluding information regarding the calculated breast volume deltavalue. In turn, the reporting device 150 is configured to reportinformation related to the calculated breast volume delta value. In someembodiments, the reporting device 150 is configured to provide a signal,e.g., a haptic, audio, or optical signal, to a nursing mother toindicate that sufficient breastmilk has been expressed during aparticular breastfeeding event. Alternatively, the reporting device 150is configured to provide a signal, e.g., a haptic, audio, and/or opticalsignal, designed to startle an infant into ceasing breastfeeding (i.e.,disengaging from the nipple) if sufficient breastmilk has been expressedduring a particular breastfeeding event.

In some embodiments, reporting device 150 includes a haptic reportingdevice 222. For example, the reporting device can include a hapticreporting device that emits a haptic signal, e.g., a vibrational signal,in response to the information regarding the calculated breast volumedelta value. In an aspect, the haptic reporting device 222 isincorporated into or onto a surface of the flexible substrate that is indirect contact with a subject wearing the wearable breast monitor. Forexample, the haptic reporting device can be associated with an internalsurface of a nursing bra. In an aspect, the haptic reporting device 222is incorporated into or onto a surface of the flexible substrate thatcomes into direct contact with the nursing infant. In an aspect, thehaptic reporting device 222 provides a haptic signal to startle aninfant into ceasing breastfeeding if sufficient breast milk has beenexpressed during a breastfeeding event. For example, the hapticreporting device can be associated with an external surface of a nursingbra that comes into contact with a cheek or other portion of a nursinginfant. For example, the haptic reporting device can include avibrational motor (e.g., a coin or pancake vibration motor, from, e.g.,Precision Microdrives Ltd, London, UK) that might be used to let thenursing mother know that sufficient breast milk has been expressed.

In some embodiments, the haptic reporting device 222 includes a devicefor inducing a mild electrical shock. For example, the haptic reportingdevice can emit a mild electric shock to let the nursing mother knowthat a sufficient volume of milk has been expressed. For example, thehaptic reporting device can emit a mild electric shock to startle aninfant into ceasing breastfeeding if sufficient breast milk has beenexpressed during a breastfeeding event.

In some embodiments, the reporting device 150 includes an audioreporting device 224. For example, the reporting device can include anaudio reporting device including at least one speaker that emits anaudible signal in response to the information regarding the calculatedbreast volume delta value. For example, the audio reporting device canemit a warning sound, e.g., a beeping sound, if the calculated breastvolume delta value fails to fall within a range of acceptable breastvolume delta values. For example, the audio reporting device can emitone or more spoken words indicating whether the calculated breast volumedelta value falls within a range of acceptable breast volume deltavalues. In an aspect, audio reporting device 224 provides an audiblesignal to startle an infant into ceasing breastfeeding if sufficientbreast milk has been expressed during a breastfeeding event. Electronicsound chips and/or sound cards for use as an audio reporting device areavailable from commercial sources (from, e.g., STMicroelectronics,Geneva, Switzerland).

In some embodiments, the reporting device 150 includes an opticalreporting device 226. In an aspect, the optical reporting deviceincludes one or more light indicators. For example, the reporting devicecan include one or more lights, e.g., light-emitting diodes (LEDs),configured to light up in response to the information regarding thecalculated breast volume delta value. In an aspect, the opticalreporting device includes one or more color-coded lights. For example,the reporting device can include LEDs of different colors and a codingsystem. For example, a signal from a green LED can indicate that thecalculated breast volume delta value falls within a range of acceptablebreast volume delta values while a red LED can indicate that thecalculated breast volume delta value fails to fall within a range ofacceptable breast volume delta values. In an aspect, optical reportingdevice 226 provides a visible single to startle an infant into ceasingbreastfeeding if sufficient breast milk has been expressed during abreastfeeding event. As a non-limiting example, sewn-on washable LEDsdesigned for use with fabric are commercially available (from, e.g.,SparkFun Electronics, Niwot, Colo.).

In an aspect, reporting device 150 includes transmission unit 228including an antenna. A “transmission unit,” as used herein, can be oneor more of a variety of units that are configured to send and/or receivesignals, such as signals carried as electromagnetic, radio, sonic, oroptical waves. A transmission unit generally includes at least oneantenna and associated circuitry. A transmission unit can be operablyconnected to the microcontroller and/or can include a processor and/ormemory component. A transmission unit can be operably connected to anenergy source, such as a battery. A transmission unit can include anenergy harvesting unit, such as a unit configured to obtain energy fromelectromagnetic waves. A transmission unit can include a transponderutilizing electromagnetic waves, for example as described in“Fundamental Operating Principles,” in Chapter 3 of the RFID Handbook:Fundamentals and Applications in Contactless Smart Cards andIdentification, Klaus Finkenzeller, John Wiley & Sons, (2003), which isincorporated herein by reference. In an aspect, the transmission unitcommunicates within a wireless personal area network, e.g., Bluetooth,wireless USB, WiFi, or ZigBee.

In an aspect, the transmission unit 228 comprises a radiofrequencytransmission unit. A transmission unit can include an oscillator andencoder configured to generate a programmable pulse position-modulatedsignal in the radio frequency range (see, e.g., U.S. Pat. No. 4,384,288,which is incorporated herein by reference). A transmission unit caninclude a radio frequency identification device (RFID), which can be apassive RFID device, a semi-passive RFID device, or an active RFIDdevice, depending on the embodiment (see, e.g., Chawla & Ha, “AnOverview of Passive RFID,” IEEE Applications and Practice, 11-17(September 2007), which is incorporated herein by reference). Atransmission unit including an RFID device can be configured to transmitsignals in the UHF standard range. A transmission unit can include abattery-assisted passive RFID device, such as sold by Alien Technology®,Morgan Hill, Calif. A transmission unit can include an opticaltransmission unit. For example, the optical transmission unit caninclude an infrared transmitting diode. A transmission unit can includea hybrid backscatter system configured to function in an RFID, IEEE802.11x standard and Bluetooth system. A transmission unit can include anear field communication (NFC) device. A transmission unit can include aWireless Identification and Sensing Platform (WISP) device. Atransmission unit can be operably coupled to a data storage unit.

In an aspect, transmission unit 228 is configured to transmit theinformation regarding the calculated breast volume delta value to anexternal device. For example, the transmission unit can be configured tosync with an external device, e.g., a smart phone, to transferinformation, e.g., data, regarding the calculated breast volume deltavalue. In an aspect, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to adedicated handheld device. For example, the transmission unit cantransmit information regarding the calculated breast volume delta valueto a dedicated handheld device specifically designed for use with awearable breast monitor or breast monitoring system. For example, adedicated handheld device can include a transmission unit and antennafor communicating with the wearable breast monitor, a user interface,e.g., a display, microphone, or haptic interface, for displaying and/ornotifying a user during a breastfeeding event, and a computing componentto display and save information received from the wearable breastmonitor. In an aspect, the transmission unit is configured to transmitthe information regarding the calculated breast volume delta value to amobile communication device. For example, the transmission unit cantransmit the information related to the calculated breast volume deltavalue to a mobile communication device, e.g., a cellular or smart phone.For example, the transmission unit including the antenna can beconnected through a wireless radiofrequency communication link, e.g.,Bluetooth or WiFi, to a smart phone. In an aspect, the mobilecommunication device includes a program, set of instructions, and/or anapplication configured to receive information from the wearable breastmonitor, process the received information, and display the receivedinformation for a user, e.g., a nursing mother. In an aspect, thetransmission unit is configured to transmit the information regardingthe calculated breast volume delta value to a computing device. Forexample, the transmission unit can transmit the information related tothe calculated breast volume delta value to a computing device, e.g., atablet, a laptop, or tabletop computing device.

In an aspect, the transmission unit is configured to communicate with acommunication device, such as one or more of a mobile communicationdevice and a computer system including, but not limited to, mobilecomputing devices (e.g., hand-held portable computers, Personal DigitalAssistants (PDAs), laptop computers, netbook computers, tabletcomputers, and so forth), mobile telephone devices (e.g., cellulartelephones and smartphones), devices that include functionalitiesassociated with smartphones and tablet computers (e.g., phablets),portable game devices, portable media layers, multimedia devices,satellite navigation devices (e.g., Global Positioning System (GPS)navigation devices), e-book reader devices (eReaders), Smart Television(TV) devices, surface computing devices (e.g., table top computers),Personal Computer (PC) devices, and other devices that employtouch-based human interfaces. In an aspect, the computing device isassociated with another piece of equipment associated with a patientcare room in a hospital or other medical facility or lactation clinic.

In an aspect, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to anetwork. In an aspect, the transmission unit is configured tocommunicate with a health provider network. For example, the reportingdevice can be configured to communicate directly with a networkassociated with a subject's healthcare provider, e.g., a hospital, aclinic, medical facility, or physician's office. For example, thereporting device can be configured to communicate directly with thesubject's electronic medical file or health record.

In an aspect, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to asocial media site. In some embodiments, the transmission unit isconfigured to directly transmit information to a social media site.Alternatively, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to anexternal device, e.g., a dedicated handheld device, mobile communicationdevice, or other computing device, which in turn transmits theinformation regarding the calculated breast volume delta value to asocial media site. For example, the transmission unit can be configuredto post the information regarding the calculated breast volume deltavalue to Facebook, Google, Instagram, CafeMom, or similar social mediasite. For example, the transmission unit can be configured to post theinformation regarding the calculated breast volume delta to a websitededicated to a specific topic, e.g., lactation or other parenting/babytopics. For example, the transmission unit can be configured to post theinformation regarding the calculated breast volume delta to a websitethat allows the nursing mother to track breastfeeding events, comparedata with other nursing mothers, get advice on nursing/breastfeedingissues, and the like.

Wearable breast monitor 100 includes microcontroller 160 includingmicroprocessor 170 and circuitry 180. In an aspect, the microcontrollerincludes a microprocessor 170, e.g., a central processing unit, forcontrolling one or more functions of the wearable breast monitor. In anaspect, the microprocessor is incorporated into one or more integratedcircuits. In an aspect, the microprocessor is programmable, capable ofaccepting input data, processes the input data according toinstructions, and provides results as output. The control unit furtherincludes a system memory and a system bus that couples various systemcomponents including the system memory to the microprocessor. Themicroprocessor can include a processing unit, a central processing unit(CPU), a digital signal processor (DSP), an application-specificintegrated circuit (ASIC), a field programmable gate entry (FPGA), orthe like, or any combinations thereof, and can include discrete digitalor analog circuit elements or electronics, or combinations thereof. Inan aspect, the microcontroller includes one or more ASICs having aplurality of pre-defined logic components. In an aspect, themicrocontroller includes one or more FPGA having a plurality ofprogrammable logic commands. In an aspect, the microcontroller includesembedded software.

The microcontroller 160 includes circuitry 180. In an aspect, thecircuitry includes input circuitry 182 configured to receive a first setof signals from the at least one photodetector 140; and receive at leastone second set of signals from the at least one photodetector 140. In anaspect, the signals from the at least one photodetector are indicativeof the amount of photons detected by the photodetector at the end of theoptical fiber or along the length of the optical fiber. The signalreceived by the input circuitry from the photodetector is proportionallyrelated to changes in the curvature of the optical fibers and dependentupon the placement of the photodetector. For example, a decreased signalfrom a photodetector at the end of the optical fiber may be correlatedwith an increase in bending, whereas a decreased signal from aphotodetector along the length of the optical fiber may be correlatedwith a decrease in bending. Similarly, an increase in signal from aphotodetector at the end of the optical fiber may be correlated with adecrease in bending, whereas an increased signal from a photodetectoralong the length of the optical fiber may be correlated with an increasein bending.

The input circuitry 182 is configured to receive a first set of signalsfrom the at least one photodetector 140. In some embodiments, the firstset of signals is sent as soon as the wearable breast monitor isswitched on. In some embodiments, the first set of signals is sent oncethe wearable breast monitor has made contact with a skin surface. Insome embodiments, the first set of signals is sent in response to inputfrom the subject. For example, the wearable breast monitor can include a“start button” or similar user interface for activating the device. Forexample, the wearable breast monitor can be configured to receive a“start” signal from a remote device, e.g., a dedicated hand-held device,mobile communication device, and/or computing device.

The input circuitry 182 is configured to receive at least one second setof signals from the at least one photodetector 140. In some embodiments,the input circuitry is configured to receive the at least one second setof signals periodically during a breastfeeding event. Alternatively orin addition, the input circuitry can be configured to receive the atleast one second set of signals from the at least one photodetector atthe end of a breastfeeding event. In some embodiments, the frequency atwhich signals are received is modulated by the at least onephotodetector in terms of how frequently the photodetector monitorslight reception. In some embodiments, the frequency at which signals arereceived is modulated by the input circuitry in terms of how frequentlythe circuitry samples for signals from the photodetectors.

Circuitry 180 includes calculation circuitry 184 configured to calculatea curvature delta value based on a comparison of the received first setof signals and the received at least one second set of signals from theat least one photodetector. For example, the circuitry can be configuredto calculate a curvature delta value based on changes in voltage outputfrom a photodetector in response to a change in curvature, e.g., changein breast volume during a breastfeeding event. In some embodiments, themicrocontroller includes a look-up table that includes correlation databetween light transmission, reflection, or refraction by a particulartype or orientation of optical fiber versus the curvature of the opticalfiber. It is anticipated that as the optical fiber bends, more photonsare potentially lost from the optical waveguide. This may be measured asa decrease in light transmitted through the optical fiber or may bemeasured as an increase in light escaping from the optical fiber alongits path.

A wearable breast monitor such as described herein includes calculationcircuitry configured to calculate a breast volume delta value from acalculated curvature delta value. In an aspect, the calculationcircuitry of the microcontroller includes an algorithm for calculatingthe breast volume delta value from the calculated curvature delta value.

In some embodiments, the calculation circuitry calculates the breastvolume delta value based on changes in the height of the breast from thechest. From a geometric perspective, the breast can be considered a capsection of a sphere obtained by slicing the sphere with a plane. Assuch, a spherical cap has a circular base and a dome that is flatterthan a hemispherical dome, the latter of which is a spherical capobtained by cutting the sphere in half. The volume of a spherical capcan be calculated from its height H and its radius at the base A. R isthe radius of the sphere from which the spherical cap is “cut.” As such,H, A, and R are related as follows:A ²=2RH−H ²

To find the volume in terms of the radius of the base A of the sphericalcap and the height H of the spherical cap, the following equation can beused:V=(π/6)H(3A ² +H ²)

To find the volume in terms of the radius of the sphere R and the heightH, the following equation can be used:V=(π/3)H ²(3R−H)

In some embodiments, for calculation purposes, the breast is treated asa rotationally symmetric breast. Said rotationally symmetric breast israised above the chest by a height of Z(r). The breast at the chest hasa radius of r. FIG. 17 illustrates aspects of this scenario. In thiscase, the breast volume is given by the equation:V=∫ ₀ ^(R)2πrZ(r)drIn some cases, the value of Z(r) (the height of the breast above thechest) is not predefined. However, changes in this height during abreastfeeding event can be calculated based on changes in localcurvature of the breast, as measured using the optical fibers of thewearable breast monitor. Let s be the arc-length along the surface ofthe curved breast and let

(s) be the inverse curvature, i.e., the radius of curvature. Let θ bethe local slope angle. This is illustrated in FIG. 17. As such,dr/ds=cos θ; dZ/dz=−sin θ; and ds/dθ=

. Therefore, dr/dθ=cos θ and dZ/dθ=−

sin θ.

In some embodiments, the algorithm assumes a constant radius ofcurvature

. As such the following it true:r=

sin θZ=

+

(cos θ−1)s=

θLet R be the full radius of the breast and assume that R<

. The maximum θ value is θ_(•), whereinsin

=R/

Skin length (s(θ_(•))) along the curvature is equal to

=

Z₀ is calculated by requiring that Z=0 at θ_(•). As such0=Z ₀+

(cos

−1)Z ₀=

(1−cos

)Z=

(cos θ−cos

)Based on these relationships, volume V can be calculated as follows:

V = 2πℛ  sin   θ  ℛ(cos   θ − cos   )ℛ  cos   θ  d θV = 2πℛ³cos   θ − cos   )  sin   θ  cos   θ  d θV = πℛ³/3  {2 − 3  cos    + cos   3}where cos

=√{square root over (1−R²/

²)}.

In some embodiments, the radius of curvature

varies with the local slope angle θ. As such:

ℛ(θ) = ℛ₀ − R^(′)  sin   θ and: s = ℛ₀θ + ℛ^(′)(cos   θ − 1)$r = {{\mathcal{R}_{0}\mspace{14mu}\sin\mspace{14mu}\theta} - {\frac{1}{2}\mathcal{R}^{\prime}\mspace{14mu}\sin^{2}\mspace{14mu}\theta}}$$Z = {Z_{0} + {\mathcal{R}_{0}\left( {{\cos\mspace{14mu}\theta} - 1} \right)} + {\frac{\mathcal{R}^{\prime}}{2}\theta} - {\frac{\mathcal{R}^{\prime}}{4}\sin\limits^{2}\mspace{14mu}\theta}}$These variables can then be used to integrate to calculate a volume,where:

$V = {2\pi{\int_{0}^{\theta_{F}}{{\left\lbrack {{\mathcal{R}_{0}\mspace{14mu}\sin\mspace{14mu}\theta} - {\frac{1}{2}\mathcal{R}^{\prime}\mspace{14mu}\sin\; 2\mspace{14mu}\theta}} \right\rbrack\left\lbrack {Z_{0} + {\mathcal{R}_{0}\left( {{\cos\mspace{14mu}\theta} - 1} \right)} + {\frac{\mathcal{R}^{\prime}}{2}\theta} - {\frac{\mathcal{R}^{\prime}}{4}\sin^{2}\mspace{14mu}\theta}} \right\rbrack}{\quad{{\left\lbrack {\mathcal{R}_{0} - {\mathcal{R}^{\prime}\mspace{14mu}\sin\mspace{14mu}\theta}} \right\rbrack\mspace{11mu}\cos\mspace{14mu}\theta\mspace{14mu} d\;\theta V} = {{2\pi{\int_{0}^{\theta_{F}}{\left\{ {\left( {Z_{0} - \mathcal{R}_{0}} \right) + {\mathcal{R}_{0}\mspace{14mu}\cos\mspace{14mu}\theta} - {\frac{\mathcal{R}^{\prime}}{2}\sin\mspace{14mu}\theta\mspace{14mu}\cos\mspace{14mu}\theta} + {\frac{\mathcal{R}^{\prime}}{2}\theta}} \right\}\left\{ {\mathcal{R}_{0}^{2} - {\frac{3}{2}\mathcal{R}_{0}\mathcal{R}^{\prime}\mspace{14mu}\sin\mspace{14mu}\theta} + {\frac{1}{2}\mathcal{R}^{\prime 2}\mspace{14mu}\sin^{2}\mspace{14mu}\theta}} \right\}\sin\mspace{14mu}\theta\mspace{14mu}\cos\mspace{14mu}\theta\mspace{14mu} d\;\theta}}} \equiv {\sum\limits_{k = 1}^{12}\; V_{k}}}}}}}}$

For other Z(r) shapes, r and Z can be numerically evaluated via dr/dθ=

(θ) cos θ and dZ/dθ=

(θ) sin θ; and then numerically integrated

${V = {2\pi{\int_{0}^{\theta}{{r(\varphi)}{Z(\varphi)}\frac{dr}{d\;\varphi}d\;\varphi}}}}\ $

For breasts which are not rotationally symmetric, Z(x,y) are found andthen integrate for volume:V=∫∫Z(x,y)dxdy

Changes in the curvature of the breast as indicated by changes in thelight emission properties of the optical fibers of the wearable breastmonitor can be used to calculate a change in volume of the breast and byinference a volume of milk expressed during a breastfeeding event.

In some embodiments, the calculations assume that the mammalian breastis a dome shape with a flat circular bottom, rounded sides, and arounded top. In an aspect, the calculations assume that the mammalianbreast is a spherical cap. In an aspect, the calculations assume thatthe mammalian breast is an ellipsoid. In an aspect, the calculationsassume that the mammalian breast is a paraboloid. In an aspect, thechange in curvature is correlated with a change in surface area of atleast a portion of the breast.

Described herein are aspects of a breast monitoring system. FIG. 18shows a non-limiting example of a breast monitoring system. Breastmonitoring system 1800 includes a flexible substrate 1810 fabricated tosubstantially conform to external contours of at least a portion of oneor more breasts of a subject; one or more optical fibers 1820 associatedwith the flexible substrate 1810, wherein the one or more optical fibers1820 are dynamically bendable; at least one light source 1830 operablycoupled to the one or more optical fibers 1820; at least onephotodetector 1840 positioned to detect light reception from the one ormore optical fibers 1820; a reporting device 1850; and a microcontroller1860 including a microprocessor 1870 and circuitry 1880, wherein thecircuitry includes input circuitry 1882 configured to receive a firstset of signals from the at least one photodetector; and receive at leastone second set of signals from the at least one photodetector;calculation circuitry 1884 configured to calculate a curvature deltavalue based on a comparison of the received first set of signals and thereceived at least one second set of signals from the at least onephotodetector; and calculate a breast volume delta value from thecalculated curvature delta value; and reporting circuitry 1886configured to transmit a signal to the reporting device based on thecalculated breast volume delta value.

In some embodiments, the components of breast monitoring system 1800including one or more optical fibers 1820, at least one light source1830, at least one photodetector 1840, reporting device 1850, andmicrocontroller 1860 including microprocessor 1870 and circuitry 1880are all associated with and/or incorporated into flexible substrate 1810to form a wearable breast monitoring system. In some embodiments, thebreast monitoring system 1800 includes one or more optical fiber 1820,at least one light source 1820, at least one photodetector and thereporting device 1850 associated with the flexible substrate 1810,wherein the reporting device 1850 (e.g., a transmission unit) is inwireless communication with microcontroller 1860. Non-limiting aspectsof flexible substrates, optical fibers, light sources, photodetectors,reporting devices, microcontrollers, and circuitry have been describedabove herein.

Described herein are aspects of a breast monitoring system. In anaspect, a breast monitoring system comprises a wearable breast monitorand a computing device, wherein the wearable breast monitor includes aflexible substrate fabricated to substantially conform to externalcontours of at least a portion of one or more breasts of a subject; oneor more optical fibers associated with the flexible substrate, whereinthe one or more optical fibers are dynamically bendable; at least onelight source operably coupled to the one or more optical fibers; atleast one photodetector positioned to detect light reception from theone or more optical fibers; and a transmission unit including an antennaand operably coupled to the at least one photodetector, the transmissionunit configured to transmit signals, the transmitted signals includinglight reception information from the at least one photodetector; and thecomputing device including a receiver and a microprocessor withcircuitry, the circuitry including input circuitry configured to receivea first set of transmitted signals from the transmission unit of thewearable breast monitor, and to receive at least one second set oftransmitted signals from the transmission unit of the wearable breastmonitor; calculation circuitry configured to calculate a curvature deltavalue based on a comparison of the received first set of transmittedsignals and the received at least one second set of transmitted signalsform the transmission unit of the wearable breast monitor, and calculatea breast volume delta value from the calculated curvature delta value;and reporting circuitry configured to report the calculated breastvolume delta value.

FIG. 19 shows non-limiting aspects of a breast monitoring system. Breastmonitoring system 1900 includes wearable breast monitor 1905 andcomputing device 1960. Wearable breast monitor 1905 of system 1900includes flexible substrate 1910 fabricated to substantially conform tothe external contours of at least a portion of one or more breasts of asubject. In an aspect, the flexible substrate 1910 of the wearablebreast monitor 1905 is a flexible strip fabricated to substantiallyconform to the external contours of at least a portion of at least oneof the one or more breasts of the subject. In an aspect, the flexiblesubstrate 1910 of the wearable breast monitor 1905 is a flexible sleevefabricated to substantially conform to the external contours of at leasta portion of at least one of the one or more breasts of the subject. Inan aspect, the flexible sleeve is sized for placement between theexternal contours of the at least a portion of at least one of the oneor more breasts of the subject and a brassiere (e.g., a nursing bra). Inan aspect, the flexible substrate 1910 of the wearable breast monitor1905 includes an adhesive on at least one surface. In an aspect, theflexible substrate 1910 of the wearable breast monitor 1905 includes astretchable fabric. In an aspect, the flexible substrate 1910 of thewearable breast monitor 1905 includes a form-fitting material thatsubstantially conforms to the external contours of the at least oneportion of the one or more breasts of the subject. Non-limiting aspectsof flexible strips, flexible sleeves, and adhesives have been describedabove herein. In an aspect, at least one surface of the flexiblesubstrate 1910 of the wearable breast monitor 1905 includes a softfabric. For example, at least one surface of the wearable breast monitorcan include a material (e.g., flannel or faux fur) that is soft to thetouch and comfortable for the skin surface of a nursing infant.

In an aspect, the flexible substrate 1910 of the wearable breast monitor1905 is a flexible garment fabricated to substantially conform to theexternal contours of at least a portion of the one or more breasts ofthe subject. In an aspect, the flexible garment is a brassiere. In anaspect, the flexible garment is a nursing bra.

In some embodiments, the wearable breast monitor 1905 includes a nippleaccess portion defined by the flexible substrate 1910, wherein thenipple access portion includes an aperture in the flexible substratesized to accommodate a nipple associated with the breast of the subject.In an aspect, the wearable breast monitor 1905 includes a nipple accesscovering sized to cover at least a portion of the nipple access portionof the wearable breast monitor 1905. In an aspect, the nipple accesscovering is an extension of the flexible substrate sized to cover thenipple access portion and includes at least one fastener configured toreversibly attach the extension of the flexible substrate to theflexible substrate over the nipple access portion. In an aspect, thenipple access covering is a separate piece of material sized to coverthe nipple access portion and includes at least one fastener configuredto reversibly attach the separate piece of material to the flexiblesubstrate over the nipple access portion. A fastener can include atleast one of a snap, a button, a zipper, a hook and loop fastener,VELCRO, magnet, or the like.

Wearable breast monitor 1905 of system 1900 further includes one or moreoptical fibers 1920 associated with the flexible substrate 1910, whereinthe one or more optical fibers 1920 are dynamically bendable. In anaspect, the one or more optical fibers 1920 are at least one of attachedto the flexible substrate 1910, incorporated into the flexible substrate1910, or woven into the flexible substrate 1910 of the wearable breastmonitor 1805. In an aspect, the one or more optical fibers are arrangedin at least one of a network, radial pattern, spiral pattern, concentriccircles, or overlapping patterns on the flexible substrate 1910 of thewearable breast monitor 1905. In some embodiments, at least two of theone or more optical fibers 1920 are proximate and non-parallel. In someembodiments, a first optical fiber overlays a second, non-parallel,optical fiber. In some embodiments, a first portion of at least one ofthe one or more optical fibers 1920 overlays a second non-parallelportion of the at least one of the one or more optical fibers 1920. Inan aspect, the one or more optical fibers 1920 are arranged in agrid-like network on the flexible substrate 1910 of the wearable breastmonitor 1905. Non-limiting examples of arrangements or patterns ofoptical fibers associated with flexible substrates have been describedabove.

In some embodiments, the flexible substrate 1910 of the wearable breastmonitor 1905 includes a first layer and a second layer, wherein the oneor more optical fibers 1920 are disposed between the first layer and thesecond layer of the flexible substrate 1910. In an aspect, the firstlayer of the flexible substrate and second layer of the flexiblesubstrate are formed from stretchable fabric.

In some embodiments, the one or more optical fibers 1920 associated withthe flexible substrate 1910 of the wearable breast monitor 1905 are oneor more glass optical fibers. In some embodiments, the one or moreoptical fibers 1920 associated with the flexible substrate 1910 of thewearable breast monitor 1905 are one or more plastic optical fibers, oneor more polymer optical fibers, or one or more acrylic optical fibers.In an aspect, the one or more optical fibers 1920 associated with theflexible substrate 1910 of the wearable breast monitor 1905 are one ormore photonic crystal fibers. In an aspect, at least one of the one ormore optical fibers 1920 associated with the flexible substrate 1910 ofthe wearable breast monitor 1905 has a core including one or more fiberBragg gratings. Non-limiting aspects of optical fibers have beendescribed above herein.

Wearable breast monitor 1905 of breast monitoring system 1900 furtherincludes at least one light source 1930 operably coupled to the one ormore optical fibers 1920 and at least one photodetector 1940 positionedto detect light reception from the one or more optical fibers 1920. Inan aspect, the at least one light source 1930 of wearable breast monitor1905 includes a light emitting diode. In an aspect, the at least onelight source 1930 of wearable breast monitor 1905 includes a laserdiode. In some embodiments, the at least one light source 1930 of thewearable breast monitor 1905 is positioned at a first end of the one ormore optical fibers 1920 associated with the flexible substrate 1910 andat least one photodetector 1940 of the wearable breast monitor 1905 ispositioned at a second end of the one or more optical fibers 1920associated with the flexible substrate 1910. In aspect, the at least onephotodetector 1940 is positioned along the length of the one or moreoptical fibers 1920. In an aspect, the at least one photodetector 1940includes at least one photodiode. In some embodiments, the wearablebreast monitor 1905 includes a plurality of photodetectors positionedalong a length of at least one of the one or more optical fibers. Insome embodiments, the at least one photodetector 1940 is positionedalong at least one of the one or more optical fibers 1920 to detectlight transmission through the at least one of the one or more opticalfibers from the at least one light source 1930. In some embodiments, theat least one photodetector 1940 is positioned along at least one of theone or more optical fibers 1920 to detect light reflected from the atleast one of the one or more optical fibers 1920.

In some embodiments, the at least one light source 1930 is configured toemit one or more pulses of light. Under these conditions, the at leastone photodetector 1940 is configured to measure a time delta between itsreception of light and emission of light by the at least one lightsource 1930 and the calculation circuitry 1994 is configured tocalculate positional information related to the curvature based upon thetime delta.

In some embodiments, at least one of the one or more optical fibers 1920has a cladding component having a first optical absorption coefficientand a core component having a second optical absorption coefficient. Inan aspect, at least one first photodetector is configured to detectlight reception from the core component and at least one secondphotodetector is configured to detect light reception from the claddingcomponent; and wherein the calculation circuitry 1994 is configured tocalculate positional information related to the curvature based upon adifference between a signal from the at least one first photodetectorand a signal from the at least one second photodetector.

Wearable breast monitor 1905 of breast monitoring system 1900 furtherincludes transmission unit 1950 including an antenna and operablycoupled to the at least one photodetector 1940, the transmission unitconfigured to transmit signals, the transmitted signals including lightreception information from the at least one photodetector 1940. In anaspect, transmission unit 1950 of the wearable breast monitor 1905comprises a radiofrequency transmission unit and antenna. For example,the transmission unit can include Bluetooth or WiFi transmissioncapability. In an aspect, the transmission unit 1950 comprises anoptical transmission unit. For example, the transmission unit caninclude an infrared optical transmitter. Non-limiting aspects oftransmission units has been described above herein.

Breast monitoring system 1900 further includes a computing device 1960including a receiver 1970, a microprocessor 1980, and circuitry 1990. Inan aspect, the computing device 1960 is a dedicated handheld device. Forexample, the computing device can include a dedicated handheld devicemanufactured specifically for the purpose of working with the wearablebreast monitor. Said dedicated handheld device can further include areceiver, a microprocessor, and circuitry including input circuitry,calculation circuitry and reporting circuitry. In an aspect, thecomputing device 1960 is a mobile communication device. For example, thecomputing device can include a smart phone, cell phone, or similardevice that includes a receiver capable of communicating with thewearable breast monitor and circuitry configured to receive and processinformation from a wearable breast monitor to calculate changes inbreast volume during a breastfeeding event. In an aspect, the computingdevice 1960 is a laptop or tablet computing device. In some embodiments,the computing device 1960 is connected to a network. For example, thecomputing device can be connected to or in communication with a networkassociated with a healthcare provider or lactation consultant. Forexample, the computing device can be connected to or in communicationwith a network that allows for sharing breastfeeding information to awebsite, e.g., a lactation tracking website or to a social mediawebsite.

In an aspect, the receiver 1970 is configured to receive transmittedsignals from the transmission unit of the wearable breast monitor. In anaspect, the receiver is configured to receive radio, acoustic,electromagnetic, and/or optical transmissions. For example, the receivercan include a radiofrequency receiver for receiving radiofrequencysignals from the wearable breast monitor. For example, the receiver canbe configured to receive Bluetooth or WiFi transmissions. For example,the receiver can include an optical signal receiver configured toreceive an optical transmission, e.g., an infrared transmission.

In an aspect, the computing device 1960 includes a transmission unit(e.g., infrared, Bluetooth or WiFi compatible systems) capable oftransmitting signals to the wearable breast monitor 1905. For example,the computing device can included a transmission unit capable oftransmitting signals to the wearable breast monitor to control operationof the wearable breast monitor, e.g., on/off signals. For example, thecomputing device can include a transmission unit capable of transmittingsignals from the reporting circuitry back to the wearable breast monitorto activate an associated reporting device, e.g., an optical, audio, orhaptic reporting device, associated with the wearable breast monitor toalert a nursing mother and/or infant as to the calculated breast volumedelta value.

Circuitry 1990 of computing device 1960 includes input circuitry 1992configured to receive a first set of transmitted signals from thetransmission unit 1950 of the wearable breast monitor 1905, and toreceive at least one second set of transmitted signals from thetransmission unit 1950 of the wearable breast monitor 1905. Circuitry1990 includes calculation circuitry 1994 configured to calculate acurvature delta value based on a comparison of the received first set oftransmitted signals and the received at least one second set oftransmitted signals from the transmission unit 1950 of the wearablebreast monitor 1905, and to calculate a breast volume delta value fromthe calculated curvature delta value. In an aspect, calculationcircuitry 1994 of the computing device 1960 includes an algorithm forcalculating the breast volume delta value from the calculated curvaturedelta value. In an aspect, calculation circuitry 1994 of the computingdevice 1960 includes circuitry configured to calculate a volume of milkexpressed during a breastfeeding event from the calculated breast volumedelta value. In some embodiments, computing device 1960 includescompilation circuitry configured to compile calculated breast volumedelta values over time and transmit a signal including informationregarding the compilation to a reporting device.

Circuitry 1990 further includes reporting circuitry 1996 configured toreport the calculated breast volume delta value. In an aspect, thereporting circuitry 1996 is configured to report the calculated breastvolume delta value to a reporting device associated with the computingdevice 1960, wherein the reporting device includes at least one of adisplay, an optical reporting device, an audio reporting device, or ahaptic reporting device associated with the computing device 1960. Insome embodiments, the reporting circuitry 1996 of the computing device1960 is configured to report the calculated breast volume delta value toa network. For example, the reporting circuitry can be configured toreport the calculated breast volume delta value to a network associatedwith a healthcare provider and/or lactation consultant. In an aspect,the reporting circuitry 1996 of the computing device 1960 is configuredto report the calculated breast volume delta value to a social mediawebsite. For example, the reporting circuitry can be configured toreport the calculated breast volume delta value to Facebook or similarsocial media website. Additional non-limiting aspects of inputcircuitry, calculation circuitry, and reporting circuitry have beendescribed above herein.

In an aspect, the input circuitry 1992, the calculation circuitry 1994,and the reporting circuitry 1996 are part of a breast monitoringapplication configured for implementation on the computing device. Insome embodiments, system 1900 includes a breast monitoring applicationthat includes non-transitory signal bearing medium including one or moreinstructions, the one or more instructions when implemented on thecomputing device 1960 include one or more instructions for receiving thefirst set of transmitted signals from the transmission unit 1950 of thewearable breast monitor 1905; one or more instructions for receiving theat least one second set of transmitted signals from the transmissionunit 1950 of wearable breast monitor 1905; one or more instructions forcalculating the curvature delta value based on the comparison of thereceived first set of transmitted signals and the received at least onesecond set of transmitted signals from the transmission unit 1950 of thewearable breast monitor 1905; one or more instructions for calculatingthe breast volume delta value from the calculated curvature delta value;and one or more instructions for reporting the calculated breast volumedelta value.

A breast monitoring application that includes non-transitory signalbearing medium including one or more instructions, the one or moreinstructions when implemented on computing device including at least oneor more of one or more instructions for transmitting one or more signalshaving information regarding the calculated breast volume delta value toat least one of a haptic reporting device, an audio reporting device, anoptical reporting device, or a transmission unit; one or moreinstructions for transmitting one or more signals having informationregarding the calculated breast volume delta value to a dedicatedhand-held device, a mobile communication device, a portable computingdevice, a computing device, or a network; one or more instructions forcompiling calculated breast volume delta values over time and forreporting the compilation; one or more instructions for calculating avolume of milk expressed during a breastfeeding event from thecalculated curvature delta value; and one or more instructions forgenerating a graphic representation of the calculated volume of milkexpressed during a first breastfeeding event and at least one secondbreastfeeding event.

FIG. 20 illustrates a non-limiting example of a breast monitoringsystem. Breast monitoring system 2000 includes wearable breast monitor2005 and computing device 2040. Wearable breast monitor 2005 includes aflexible substrate 2010. In this non-limiting example, the substrate isshown as a flexible strip fabricated to substantially conform to theexternal contours of at least a portion of one or more breasts of asubject. Wearable breast monitor 2005 further includes one or moreoptical fibers 2020 associated with flexible substrate 2010 as well asat least one light source 1930 operably coupled at one end of opticalfibers 2020 and at least one photodetector 1940 positioned to detectlight reception at the other end of the optical fibers 2020. The atleast one photodetector 1940 is further operably coupled to transmissionunit 1950 which includes antenna 2030. Transmission unit 1950 isconfigured to transmit signals through antenna 2030, the transmittedsignals including light reception information from the at least onephotodetector 1940. Breast monitoring system 2000 further includescomputing device 2040. In this non-limiting example, computing device2040 is a mobile communication device, e.g., a smart phone. Computingdevice 2040 includes a receiver 2050 configured to communicate with thetransmission unit 1950 of the wearable breast monitor 2005 to receivetransmitted signals including light reception information from the atleast one photodetector 1940. In some embodiments, transmission unit1950 of wearable breast monitor 2005 can act as a receiver to receivesignals (e.g., operational signals) from computing device 2040 (through,e.g., a transmission feature of receiver 2050). Computing device 2040includes a microprocessor with circuitry, the circuitry including inputcircuitry, calculation circuitry, and reporting circuitry. In someembodiments, computing device 2040 includes an application (e.g., asoftware application) including one or more instructions implemented onthe computing device. For example, the computing device, e.g., a smartphone, can include a downloadable application for use in calculatingchanges in breast volume during a breastfeeding event based on thesignals received from the wearable breast monitor. Computing devicefurther includes display 2060. Display 2060 can be operably coupled toreporting circuitry configured to report a calculated breast volumedelta value to a user, e.g., the subject using the breast monitoringsystem during a breastfeeding event or a healthcare provider orlactation consultant monitoring said breastfeeding events. For example,the display can display a numerical representation of the calculatedbreast volume delta value. For example, the display can display agraphical representation of the calculated breast volume delta value. Insome embodiments, the reporting circuitry can be configured to reportthe calculated breast volume delta value audibly to the user. Forexample, the computing device can include a sound card for transmittingan audible signal, e.g., beeps or spoken language, indicative of thecalculated breast volume delta value. In some embodiments, the reportingcircuitry can be configured to report the calculated breast volume deltavalue haptically to the user. For example, the computing device caninclude a vibrating component for transmitting a haptic signal, e.g., avibration, to the subject indicative of the calculated breast volumedelta value. In some embodiments, the optical, audible, and/or hapticsignal is intended to startle a nursing infant such that he/shedisengages from the nipple of the nursing mother when sufficient milkfor any given breastfeeding event has been expressed.

FIG. 21 illustrates a non-limiting example of a breast monitoringsystem. Breast monitoring system 2100 includes wearable breast monitor2105 and computing device 2040. Wearable breast monitor 2105 includes aflexible substrate 2110. In this non-limiting example, flexiblesubstrate 2110 takes the form of a typical brassiere including cups 2112intended to fit snuggly around each of the breasts and straps 2114intended to support the breasts in cups 2112. In some embodiments, theflexible substrate can include a dedicated nursing bra. Wearable breastmonitor 2105 further includes optical fibers 2120 arranged in a patternon or in the cups 2112 of flexible substrate 2110. In this non-limitingexample, the optical fibers 2120 span from the medial side to thelateral side of cups 2112. Also in this non-limiting example, at leastone light source 1930 is positioned on the lateral side of each cup 2112while at least one photodetector 1940 is position on the medial side ofeach cup 2112. Light source 1930 is operably coupled to a first end ofoptical fibers 2120 and at least one photodetector 1940 is operablycoupled to a second end of optical fibers 2120. In some embodiments, atleast one photodetector 1940 is positioned along the length of opticalfibers 2120. The at least one photodetector 1940 is further operablycoupled to transmission unit 1950 which includes antenna 2030.Transmission unit 1950 is configured to transmit signals through antenna2030, the transmitted signals including light reception information fromthe at least one photodetector 1940.

In an aspect, wearable breast monitor 2105 is incorporated into anursing bra. In some embodiments, a wearable breast monitor includes anipple access portion defined by the flexible substrate, wherein thenipple access portion includes an aperture sized to accommodate a nippleassociated with the breast. In an aspect, the wearable breast monitorfurther includes a nipple access covering, wherein the nipple accesscovering is sized to cover at least a portion of the nipple accessportion. In some embodiments, the nipple access covering is an extensionof the flexible substrate sized to cover the nipple access portion andincludes at least one fastener configured to reversibly attach theextension of the flexible substrate to the flexible substrate over thenipple access portion. In some embodiments, the nipple access coveringis a separate piece of material sized to cover the nipple access portionand includes at least one fastener configured to reversibly attach theseparate piece of material to the flexible substrate over the nippleaccess portion. For example, the nipple access covering can be formedfrom the same material as the flexible substrate. For example, thenipple access covering can be formed from a material that is differentfrom the flexible substrate. In an aspect, the fastener includes atleast one of a snap, a button, a zipper, a hook and loop fastener,VELCRO, or an adhesive. In an aspect, the nipple access covering is heldon and/or over the nipple access portion by virtue of friction with theflexible substrate material.

Breast monitoring system 2100 further includes computing device 2040. Inthis non-limiting example, computing device 2040 is a mobilecommunication device, e.g., a smart phone. Computing device 2040includes a receiver 2050 configured to communicate with the transmissionunit 1950 of the wearable breast monitor 2005 to receive transmittedsignals including light reception information from the at least onephotodetector 1940. Computing device 2040 includes a microprocessor withcircuitry, the circuitry including input circuitry, calculationcircuitry, and reporting circuitry. In some embodiments, computingdevice 2040 includes an application including one or more instructionsimplemented on the computing device. For example, the computing device,e.g., a smart phone, can include a downloadable application for use incalculating changes in breast volume during a breastfeeding event basedon the signals received from the wearable breast monitor. Computingdevice further includes display 2060. Display 2060 can be operablycoupled to reporting circuitry configured to report a calculated breastvolume delta value to a user. For example, the display can display anumerical representation and/or a graphical representation of thecalculated breast volume delta value. In some embodiments, the reportingcircuitry can be configured to report the calculated breast volume deltavalue audibly (e.g., through beeps or spoken language) or haptically(e.g., through a vibration) to the user.

FIG. 22 shows a block diagram of a method for monitoring a breastfeedingevent. Method 2200 includes in block 2210 receiving a first set ofsignals at a first time point from at least one photodetector positionedto detect light reception from one or more optical fibers associatedwith a flexible substrate of a wearable breast monitor. Method 2200includes in block 2220 receiving at least one second set of signals atat least one second time point from the at least one photodetectorpositioned to detect light reception from the one or more optical fibersassociated with the flexible substrate of the wearable breast monitor.Method 2200 includes in block 2230 calculating a curvature delta valuebased on comparing the received first set of signals and the received atleast one second set of signals. Method 2200 includes in block 2240calculating a breast volume delta value from the calculated curvaturedelta value. Method 2200 includes in block 2250 transmitting one or moresignals having information regarding the calculated breast volume deltavalue to a reporting device.

Method 2200 includes receiving a first set of signals and at least onesecond set of signals from at least one photodetector. In someembodiments, the method includes receiving the first set of signals andthe at least one second set of signals directly from the at least onephotodetector. For example, the method can include a microcontrollerassociated with the wearable breast monitor directly receiving signalsfrom photodetectors associated with the wearable breast monitor. In someembodiments, the method includes receiving the first set of signals andthe at least one second set of signals indirectly from the at least onephotodetector. For example, the method includes a computing devicewirelessly receiving signals from a transmission unit operably coupledto the at least one photodetector of the wearable breast monitor.

Method 2200 includes calculating a curvature data value based oncomparing the received first set of signals and the at least one secondset of signals from the at least one photodetector. In some embodiments,the method includes accessing a database, look-up table, graph, orreference source including information regarding optical output for agiven optical fiber type or configuration depending upon curvature ofthe optical fiber.

Method 2200 includes calculating a breast volume delta value from thecalculated curvature delta value. The method can include using analgorithm to calculate the breast volume delta value. Non-limitingexamples of algorithms from calculated breast volume have been describedabove herein.

Method 2200 includes transmitting one or more signals having informationregarding the calculated breast volume delta value to a reportingdevice. For example, the method can include transmitting one or moresignals having information regarding the calculated breast volume deltavalue to a reporting device associated with the wearable breast monitor.For example, the method can include transmitting the one or more signalshaving information regarding the calculated breast volume delta value toa reporting device associated with a computing device, e.g., a dedicatedhandheld device, a mobile communication device, or a laptop or tabletcomputer.

In some embodiments, the method includes transmitting the one or moresignals having the information regarding the calculated breast volumedelta value to at least one of a haptic reporting device, an audioreporting device, or an optical reporting device. In an aspect, thehaptic reporting device, audio reporting device, or optical reportingdevice is incorporated into the wearable breast monitor. In an aspect,the haptic reporting device, audio reporting device, or opticalreporting device is incorporated into a separate computing device, e.g.,a dedicated handheld device, a mobile communication device, or a laptopor tablet computer.

In an aspect, the method includes transmitting the one or more signalshaving the information regarding the calculated breast volume deltavalue to a transmission unit including an antenna. In an aspect, themethod includes transmitting the one or more signals having theinformation regarding the calculated breast volume delta value throughthe transmission unit to an external device. For example, the method caninclude transmitting one or more signals having information regardingthe calculated breast volume delta value from a transmission unitassociated with a wearable breast monitor to an external device, e.g., acomputing device. In an aspect, the method includes transmitting the oneor more signals having the information regarding the calculated breastvolume delta value through the transmission unit to at least one of adedicated hand-held device, a mobile communication device, a portablecomputing device, a computing device, or a network. For example, themethod can include transmitting one or more signals having informationregarding the calculated breast volume delta value from a transmissionunit associated with a wearable breast monitor to an external device,e.g., a dedicated handheld device, a mobile communication device, or alaptop or tablet computer.

In an aspect, the method further includes calculating a volume of milkexpressed during a breastfeeding event from the calculated curvaturedelta value; and transmitting one or more signals having informationregarding the calculated volume of expressed milk to an external device.In an aspect, the method further includes tracking the calculated volumeof milk expressed during a first breastfeeding event and at least onesecond breastfeeding event. For example, the method can include storingdata including the calculated volume of milk expressed at a firstbreastfeeding event and at least one second breastfeeding event. In anaspect, the method further includes generating a graphic representationof the calculated volume of milk expressed during a first breastfeedingevent and at least one second breastfeeding event. For example, themethod can include generating a graph or chart including a date and/ortime for each breastfeeding event and a calculated volume of milkexpressed at each of the breastfeeding events. The graphicalrepresentation or chart can include a histogram, a bar chart, a piechart, and/or a line chart. Alternatively or in addition, the graphicalrepresentation or chart can include a timeline chart. In someembodiments, the method can include generating a graph or chartincluding three variables. For example, the method can includegenerating a bubble chart or 3-D chart including a date correlated withan infant's age, volume of milk expressed, and a plurality of infants.In an aspect, the method includes generating a plot to track thecalculated volume of milk expressed. For example, the method can includegenerating a box plot, dot plot, scatterplot, or the like. The graphicalrepresentation of the calculated volume of milk over time can bedisplayed on a display associated with a dedicated handheld device, amobile communication device, a laptop or tablet computing device, orother computing device. In an aspect, the graphical representation isprovided to the user, i.e., the nursing mother. In an aspect, thegraphical representation is provided to a medical practitioner orlactation specialist.

A method is described for using a wearable breast monitor to measurechanges in breast volume during a breastfeeding event. FIG. 23 shows ablock diagram of a method for monitoring breastfeeding. Method 2300includes in block 2310 measuring curvature of a breast during abreastfeeding event at a first time point and at at least one secondtime point with one or more optical fibers associated with a flexiblesubstrate of a wearable breast monitor. Method 2300 includes in block2320 calculating a change in curvature of the breast during thebreastfeeding event between the first time point and the at least onesecond time point. Method 2300 includes in block 2330 correlating thecalculated change in curvature of the breast during the breastfeedingevent with a volume of milk expressed between the first time point andthe at least one second time point. Method 2300 includes in block 2340reporting the volume of milk expressed during the breastfeeding eventbetween the first time point and the at least one second time point to auser. Methods including algorithms for calculating the change in volumeof the breast based on the changes in curvature of the breast have beendescribed above herein.

The method for monitoring breastfeeding includes measuring the curvatureof the breast during a breastfeeding event at a first time point and atat least one second time point with the one or more optical fibersassociated with the flexible substrate of the wearable breast monitor.In some embodiments, the method can include measuring the curvature ofthe breast at a time point prior to initiating a breastfeeding event andat a second time at the end of a breastfeeding event. In an aspect, thewearable breast monitor is worn throughout the breastfeeding event. Inan aspect, the wearable breast monitor is applied prior to initiation ofthe breastfeeding event to measure curvature of the breast at the firsttime point, removed for the actual breastfeeding event, and reappliedafter the end of the breastfeeding event to measure curvature of thebreast at the second time point.

In some embodiments, the method can include wearing the wearable breastmonitor throughout a breastfeeding event so as to measure the curvatureof the breast at several time points before, during, and/or after thecourse of the breastfeeding event. For example, the method can includecontinuously measuring changes in curvature during a breastfeeding eventand reporting the resulting changes in breast volume on a continuousbasis.

The method further includes calculating a change in curvature of thebreast during the breastfeeding event between the first time point andthe at least one second time point. In an aspect, the method includesreceiving a first set of signals from at least one photodetectorpositioned to detect light reception from the one or more optical fibersassociated with the flexible substrate of the wearable breast monitorand receiving at least one second set of signals from the at least onephotodetector. For example, the method can include calculating thechange in curvature of the breast from the first time point and the atleast one second time point based on changes in voltage received fromthe photodetector of the wearable breast monitor. The method furtherincludes correlating the calculated change in curvature of the breastduring the breastfeeding event with a volume of milk expressed betweenthe first time point and the at least one second time point.

The method includes reporting the calculated volume of milk expressedduring the breastfeeding event. The method can include reporting thecalculated volume of milk expressed to a user through at least one of anoptical reporting device, a haptic reporting device, or an audioreporting device. The method can include reporting the calculated volumeof milk expressed to a user through a display as part of a numericaland/or graphical representation. The method can include reporting thecalculated volume of milk expressed to the user on a dedicated handhelddevice, a mobile communication device, a portable computing device, orother similar computing device. The method can include reporting thecalculated volume of milk expressed to the user through a networkinterface.

In an aspect, the method further includes tracking the calculated volumeof milk expressed during a first breastfeeding event and at least onesecond breastfeeding event. For example, the method can include storingdata including the calculated volume of milk expressed at a firstbreastfeeding event and at least one second breastfeeding event. In anaspect, the method further includes generating a graphic representationof the calculated volume of milk expressed during a first breastfeedingevent and at least one second breastfeeding event. For example, themethod can include generating a graph or chart including a date and/ortime for each breastfeeding event and a calculated volume of milkexpressed at each of the breastfeeding events. The graphicalrepresentation or chart can include a histogram, a bar chart, a piechart, and/or a line chart. Alternatively or in addition, the graphicalrepresentation or chart can include a timeline chart. In someembodiments, the method can include generating a graph or chartincluding three variables. For example, the method can includegenerating a bubble chart or 3-D chart including a date correlated withan infant's age, volume of milk expressed, and a plurality of infants.In an aspect, the method includes generating a plot tracking thecalculated volume of milk expressed. For example, the method can includegenerating a box plot, dot plot, scatterplot, or the like. The graphicalrepresentation of the calculated volume of milk over time can bedisplayed on a display associated with a dedicated handheld device, amobile communication device, a laptop or tablet computing device, orother computing device. In an aspect, the graphical representation isprovided to the user, i.e., the nursing mother. In an aspect, thegraphical representation is provided to a medical practitioner orlactation specialist.

Described herein are aspects of a breast sensor device. In someembodiments, a breast sensor device includes a flexible substratefabricated to substantially conform to external contours of at least aportion of one or more breasts of a subject; one or more optical fibersassociated with the flexible substrate, wherein the one or more opticalfibers are dynamically bendable; and at least one connector operablycoupled to the one or more optical fibers. The at least one connector isconfigured to connect the breast sensor device to at least one lightsource and at least one photodetector.

FIGS. 24-26 illustrate non-limiting aspects of breast sensor devices.FIG. 24 shows a block diagram of breast sensor device 2400 includingflexible substrate 2410, one or more optical fibers 2420, and at leastone connector 2430.

In an aspect, the flexible substrate 2410 is a flexible strip fabricatedto substantially conform to the external contours of the at least aportion of the one or more breasts of the subject. In an aspect, theflexible substrate 2410 is a flexible sleeve fabricated to substantiallyconform to the external contours of the at least a portion of the one ormore breasts of the subject. In some embodiments, the flexible sleeve issized for placement between the external contours of the at least aportion of the one or more breasts of the subject and a garment. In someembodiments, the garment includes a nursing bra. Alternatively, thegarment includes a brassiere, sports bra, or other tight or form-fittingundergarment. In an aspect, the flexible substrate 2410 includes astretchable fabric. In an aspect, the flexible substrate 2410 includes aform-fitting material that substantially conforms to the externalcontours of the at least a portion of the one or more breasts of thesubject. For example, the stretchable and/or form-fitting fabric caninclude a stretchable polyester fabric (e.g., LYCRA).

In an aspect, the breast sensor device 2400 includes an adhesive on atleast one surface of the flexible substrate 2410. For example, at leastone surface of the flexible substrate of the breast sensor device caninclude a biocompatible and reversible adhesive (e.g., a pressuresensitive adhesive) for adhering the breast sensor device to the skinsurface of a subject. For example, at least one surface of the flexiblesubstrate of the breast sensor device can include an adhesive foradhering the breast sensor device to a surface of a brassiere (e.g., anursing bra).

In an aspect, the breast sensor device 2400 includes at least onefastener configured to attach the breast sensor device 2400 to agarment. In an aspect, the fastener is at least one of a snap, a button,a zipper, a hook and eye fastener, a hook and loop fastener, a magneticfastener, or an adhesive. In an aspect, the at least one fastener isconfigured to attach the breast sensor device 2400 to a nursing bra. Forexample, the breast sensor device can include a hook and loop fastener(e.g., VELCRO) for attaching the breast sensor device into a cup regionof a nursing bra.

Breast sensor device 2400 includes one or more optical fibers 2420associated with the flexible substrate 2410. In an aspect, the one ormore optical fibers 2420 are one or more glass optical fibers. In anaspect, the one or more optical fibers 2420 are one or more plasticoptical fibers. In an aspect, the one or more optical fibers 2420 areone or more polymer optical fibers. In an aspect, the one or moreoptical fibers 2420 are one or more photonic crystal fibers. In anaspect, the one or more optical fibers 2420 are one or more acrylicoptical fibers. In an aspect, each of the one or more optical fibers2420 includes an inner core and an outer cladding, and wherein a portionof a core/cladding interface is modified to alter light transmission,wherein the amount of light transmitted out is dependent on thecurvature of the one or more optical fibers 2420. In an aspect, one ormore portions along the length of the one or more optical fibers 2420are rendered transmissive to light, and the amount of light transmittedout is dependent on the curvature of the one or more optical fibers2420. In an aspect, at least one of the one or more optical fibers 2420includes one or more fiber Bragg gratings.

One or more optical fibers 2420 are associated with the flexiblesubstrate 2410 of breast sensor device 2400. In an aspect, the one ormore optical fibers 2420 are attached to the flexible substrate 2410. Inan aspect, the one or more optical fibers 2420 are incorporated into theflexible substrate 2410. In an aspect, the one or more optical fibers2420 are woven into the flexible substrate 2410.

In some embodiments, the flexible substrate 2410 includes a first layerand a second layer, and the one or more optical fibers 2420 are disposedbetween the first layer and the second layer of the flexible substrate.In an aspect, the first layer and the second layer of the flexiblesubstrate 2410 are formed from a stretchable fabric. For example, thefirst and second layers of the flexible substrate can include astretchable polyester fabric between which the one or more opticalfibers are disposed. In some embodiments, at least one of the firstlayer or the second layer of the flexible substrate includes a softfabric. For example, the first layer and/or the second layer of theflexible substrate can include a soft flannel or other fabric intendedto be soft to the touch, and particularly soft to the touch of aninfant's cheek while breastfeeding.

The one or more optical fibers 2420 are arranged in a pattern on asurface of the flexible substrate 2410 of breast sensor device 2400. Inan aspect, the one or more optical fibers 2420 associated with theflexible substrate 2410 are arranged in a network. In an aspect, the oneor more optical fibers 2420 associated with the flexible substrate 2410are arranged in a radial pattern. In an aspect, the one or more opticalfibers 2420 associated with the flexible substrate 2410 are arranged ina spiral pattern. In an aspect, the one or more optical fibers 2420associated with the flexible substrate 2410 are arranged in concentriccircles. In an aspect, the one or more optical fibers 2420 associatedwith the flexible substrate 2410 are arranged in overlapping patterns.In an aspect, the one or more optical fibers 2420 associated with theflexible substrate 2410 are proximate and non-parallel. In someembodiments, a first optical fiber overlays a second, non-paralleloptical fiber. In some embodiments, a first portion of at least one ofthe one or more optical fibers 2420 overlays a second non-parallelportion of the at least one of the one or more optical fibers. In anaspect, the one or more optical fibers 2420 associated with the flexiblesubstrate 2410 are arranged in a grid-like network.

Breast sensor device 2400 includes at least one connector 2430 operablycoupled to the one or more optical fibers 2420. For example, a breastsensor device can include a plug operably coupled to the optical fibersand configured to connect the breast sensor device to at least one of alight source and/or a photodetector. For example, a breast sensor devicecan include a conduit operably coupled to the optical fibers andconfigured to connect the breast sensor device to at least one of alight source and/or a photodetector. The connector can include aconnector, a plug, a conduit, an adapter, a coupling, a joint, or alinker operably coupled to the one or more optical fibers and configuredto operably connect one or more optical fibers of the breast sensordevice to at least one of a light source and/or a photodetector. In anaspect, the at least one connector 2430 includes a light input connectorconfigured to operably connect the one or more optical fibers 2420 to alight source. In an aspect, the at least one connector 2430 includes alight output connector configured to operably connect the one or moreoptical fibers 2420 to a photodetector. In some embodiments, the atleast one connector 2430 of the breast sensor device 2400 includes atleast one light input connector and at least one light output connector.In some embodiments, the at least one connector 2430 includes a lightinput connector configured to operably connect a first end of the one ormore optical fibers 2420 to a light source and a light output connectorconfigured to operably connect a second end of the one or more opticalfibers 2420 to a photodetector.

FIG. 25 shows a non-limiting embodiment of a breast sensor device.Breast sensor device 2500 includes a flexible substrate 2510. In thisnon-limiting example, flexible substrate 2510 is a flexible stripfabricated to substantially conform to the external contours of at leasta portion of the one or more breasts of the subject. For example, aflexible strip including one or more optical fibers and a connector canbe adhered to a surface of a subject's breast to monitor changes inbreast curvature and breast volume during a breastfeeding event. Breastsensor 2500 includes optical fiber 2520 associated with flexiblesubstrate 2510 (e.g., a flexible strip). In this non-limiting exampling,the optical fiber is curved such that a first end and a second end ofthe fiber are proximate to one another. Breast sensor 2500 furtherincludes connector 2530. In this non-limiting example, connector 2530 isconfigured to connect the first end of the optical fiber 2520 to a lightsource and the second end of the optical fiber 2530 to a photodetector.

In some embodiments, the breast sensor device includes a nipple accessportion defined by the flexible substrate, wherein the nipple accessportion includes an aperture in the flexible substrate sized toaccommodate a nipple associated with the breast of the subject. FIG. 26shows a non-limiting example of a breast sensor device including anipple access portion. Breast sensor device 2600 includes a flexiblesubstrate 2610. In this non-limiting example, flexible substrate 2610 isa flexible sleeve fabricated to substantially conform to the externalcontours of at least a portion of at least one of the one or morebreasts of the subject. Breast sensor device 2600 further includesnipple access portion 2605 defined by flexible substrate 2610, whereinnipple access portion 2605 includes an aperture in the flexiblesubstrate 2610 sized to accommodate a nipple associated with the breastof the subject. Breast sensor device further includes one or moreoptical fibers 2620. In this non-limiting example, the one or moreoptical fibers 2620 are associated with the flexible substrate 2610 inconcentric circles. The ends of the optical fibers meet at the connector2630. Connector 2630 is configured to connect a first end of the one ormore optical fibers 2620 to a light source and a second end of the oneor more optical fibers 2620 to a photodetector.

In some embodiments, a breast sensor device is part of a breastmonitoring system. In some embodiments, a breast monitoring systemincludes a breast sensor device including a flexible substratefabricated to substantially conform to external contours of at least aportion of one or more breasts of a subject, one or more optical fibersassociated with the flexible substrate, wherein the one or more opticalfibers are dynamically bendable, and at least one connector operablycoupled to the one or more optical fibers; at least one light sourceconfigured to operably couple with a first end of the one or moreoptical fibers of the breast sensor device through the at least oneconnector; at least one photodetector configured to operably couple witha second end of the one or more optical fibers of the breast sensordevice through the at least one connector, the at least onephotodetector positioned to detect light transmission through at leastone of the one or more optical fibers from the at least one lightsource; a reporting device; and a microcontroller including amicroprocessor and circuitry, wherein the circuitry includes inputcircuitry configured to receive a first set of signals from the at leastone photodetector, and receive at least one second set of signals fromthe at least one photodetector; calculation circuitry configured tocalculate a curvature delta value based on a comparison of the receivedfirst set of signals and the received at least one second set of signalsfrom the at least one photodetector, and calculate a breast volume deltavalue from the calculated curvature delta value; and reporting circuitryconfigured to transmit a signal to the reporting device based on thecalculated breast volume delta value.

FIG. 27 shows a block diagram illustrating non-limiting aspects of abreast monitoring system. Breast monitoring system 2700 includes breastsensor device 2710 including flexible substrate 2712, one or moreoptical fibers 2714, and at least one connector 2716. Non-limitingaspects of a breast sensor device including at least one connector havebeen described above herein in FIGS. 24-26 and associated text. System2700 further includes at least one light source 2720, at least onephotodetector 2730, reporting device 2740, and microcontroller 2750including a microprocessor and circuitry. The circuitry includes inputcircuitry 2752, calculation circuitry 2754, and reporting circuitry2756.

System 2700 includes at least one light source 2720 configured tooperably couple with a first end of the one or more optical fibers 2714of the breast sensor device 2710 through the at least one connector2716. In an aspect, the at least one light source 2720 includes at leastone light emitting diode. In an aspect, the at least one light source2720 includes at least one laser diode.

System 2700 further includes at least one photodetector 2730 configuredto operably couple with a second end of the one or more optical fibers2714 of the breast sensor device 2710 through the at least one connector2716, the at least one photodetector 2730 positioned to detect lighttransmission through at least one of the one or more optical fibers fromthe at least one light source. In some embodiments, the at least onephotodetector 2730 is positioned to detect light transmission through atleast one of the one or more optical fibers 2714 from the at least onelight source 2720. In some embodiments, the at least one photodetector2730 is positioned to detect light reflection from at least one of theone or more optical fibers 2714. In an aspect, the at least onephotodetector includes at least one photodiode. Non-limiting aspects ofphotodetectors have been described above herein.

In some embodiments, at least one of the one or more optical fibers 2714of the breast sensor device 2710 has a cladding component having a firstoptical absorption coefficient and a core component having a secondoptical absorption coefficient. In an aspect, at least one firstphotodetector is configured to detect light reception form the corecomponent and at least one second photodetector is configured to detectlight reception from the cladding component; and wherein the calculationcircuitry is configured to calculate positional information related tothe curvature based upon a difference between signals from the at leastone first photodetector and signals from the at least one secondphotodetector.

In some embodiments, the at least one light source 2720 is configured toemit one or more pulses of light. The at least one photodetector 2730 isfurther configured to measure a time delta between its reception oflight and emission of light by the at least one light source 2720. Thecalculation circuitry 2754 is configured to calculate positionalinformation related to the curvature based upon the time delta.

In some embodiments, the one or more optical fibers 2714 of the breastsensor device are photonic crystal fibers; and wherein the calculationcircuitry 2754 is configured to calculate the curvature delta valuebased upon a difference in optical modal structure associated with afirst set of signals and a second set of signals.

Breast monitoring system 2700 further includes reporting device 2740.The reporting device is configured to report information regarding thecalculated breast volume delta. In some embodiments, the reportingdevice provides a signal, e.g., a flashing light, an audible beep, or ahaptic vibration, indicating that the calculated breast volume deltarepresents a sufficient amount of milk expressed during a givenbreastfeeding event. Alternatively, the reporting device provides morespecificity in the form of text, graphics, or words indicating that thecalculated breast volume delta represents a sufficient amount of milkexpressed during the breastfeeding event.

In some embodiments, the reporting device 2740 includes a hapticreporting device. For example, the reporting device can include avibrational device configured to provide haptic information to a user(e.g., the nursing mother) before, during, and/or after a breastfeedingevent. In some embodiments, the reporting device 2740 includes an audioreporting device. For example, the reporting device can include an audiospeaker and sound card configured to provide audio information to a user(e.g., the nursing mother, a healthcare provider, and/or a lactationconsultant) before, during, and/or after a breastfeeding event. In someembodiments, the reporting device 2740 includes an optical reportingdevice. For example, the reporting device can include one or more lightsconfigured to provide visual information to a user (e.g., the nursingmother, a healthcare provider, and/or a lactation consultant) before,during, and/or after a breastfeeding event. For example, the reportingdevice can include a display, e.g., an LCD display, configured toprovided information in the form of text, tables, and/or graphs to auser before, during, and/or after a breastfeeding event.

In some embodiments, the reporting device includes a transmission unitincluding an antenna, the transmission unit configured to transmit theinformation regarding the calculated breast volume delta value to anexternal device. In an aspect, the transmission unit includes aradiofrequency transmission unit. For example, the transmission unit maybe part of a Bluetooth system. In an aspect, the transmission unitincludes an optical transmission unit. In an aspect, the transmissionunit is configured to transmit the information regarding the calculatedbreast volume delta value to a dedicated handheld device. In an aspect,the transmission unit is configured to transmit the informationregarding the calculated breast volume delta value to a mobilecommunication device. For example, the transmission unit can transmitthe calculated breast volume delta value to a user's cell phone or smartphone. In an aspect, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to acomputing device. For example, the transmission unit can transmit thecalculated breast volume delta value to a lap top or tablet computingdevice. In some embodiments, computing device is associated with thenursing subject. Alternatively or in addition, the computing device isassociated with a health care provider and/or lactation consultant. Insome embodiments, the transmission unit is configured to transmit theinformation regarding the calculated breast volume delta value to anetwork. For example, the transmission unit can be configured to sendthe calculated breast volume delta value to an Internet site, e.g., asocial media or healthcare provider site. In an aspect, the transmissionunit is configured to transmit the calculated breast volume delta valueto an Internet site specifically set up to collect and track said dataover time.

The breast monitoring system 2700 further includes a microcontroller2750 including a microprocessor and circuitry. In some embodiments, themicrocontroller 2750 is configured to receive information from the atleast one photodetector 2730 through a wired connection. In someembodiments, the microcontroller 2750 is configured to receiveinformation from the at least one photodetector 2730 through a wirelessconnection. In some embodiments, the reporting device 2740 is atransmission unit configured to wirelessly transmit information from theat least one photodetector 2730 to the microcontroller 2730. In someembodiments, the microcontroller 2750 is incorporated into a garment,e.g., a nursing bra along with the at least one light source, thereporting device, and the at least one photodetector. In someembodiments, the microcontroller is associated with a dedicatedhand-held device. For example, the microcontroller can include adedicated hand-held device in with at least one photodetector associatedwith a nursing bra through a transmission unit. Alternatively, themicrocontroller is associated with a mobile communication device, e.g.,a cell phone or smart phone. In an aspect, the microcontroller isassociated with a computing device, e.g., a laptop or tablet computingdevice.

Microcontroller 2750 includes circuitry configured to receive, process,and report data. The circuitry includes input circuitry 2752 configuredto receive a first set of signals from the at least one photodetector2730; and receive at least one second set of signals from the at leastone photodetector 2730. The circuitry includes calculation circuitry2754 configured to calculate a curvature delta value based on acomparison of the received first set of signals and the received atleast one second set of signals from the at least one photodetector2730. In some embodiments, the calculation circuitry 2754 of themicrocontroller 2750 includes an algorithm for calculating the breastvolume delta value from the calculated curvature delta value.Non-limiting aspects of algorithms for use in calculating the breastvolume delta based on changes in breast curvature during a breastfeedingevent have been described above. In an aspect, the calculation circuitry2754 of the microcontroller is configured to calculate a volume of milkexpressed during a breastfeeding event from the calculated breast volumedelta value.

The microcontroller 2750 further includes reporting circuitry 2756configured to transmit a signal to the reporting device 2740 based onthe calculated breast volume delta value. In some embodiments, thereporting circuitry 2756 of the microcontroller 2750 is configured totransmit a signal to at least one of a haptic reporting device, an audioreporting device, a wirelessly coupled reporting device, or an opticalreporting device. In an aspect, the reporting device is attached to agarment, e.g., a nursing bra. For example, the reporting circuitry canbe configured to transmit a signal to a vibrating haptic deviceassociate with the nursing bra to provide a haptic alert regarding thecalculated breast volume delta value. For example, the reportingcircuitry can be configured to transmit a signal to one or moreindicator lights associated with the nursing bra to provide an opticalalert regarding the calculated breast volume delta value. For example,the reporting circuitry can be configured to transmit a signal to aspeaker associate with the nursing bra to provide an audio alertregarding the calculated breast volume delta value.

In some embodiments, the reporting circuitry 2756 of the microcontroller2750 is configured to transmit a signal to a transmission unit includingan antenna. In an aspect, the transmission unit is operable to transmita signal to at least one of a dedicated hand-held device, a mobilecommunication device, and/or a laptop or tablet computing device. In anaspect, the transmission unit is operable to transmit a signal to anetwork, e.g., a healthcare provider network or a social media network.

In an aspect, the microcontroller further includes compilation circuitryconfigured to compile the calculated breast volume delta values overtime and transmit a signal including information regarding thecompilation to the reporting device. In an aspect, the compilationcircuitry compiles the calculated breast volume delta values over thecourse of a single breastfeeding event. In an aspect, the compilationcircuitry is configured to generate a graphic representation ofcumulative breast volume delta values over the course of a singlebreastfeeding event. In an aspect, the compilation circuitry isconfigured to generate a graphic representation of total breast volumedelta values at each of one or more breastfeeding events. The graphicrepresentation can be reported via a display associated with a dedicatedhand-held device, a mobile communication device, and/or a laptop ortablet computer.

In an aspect, a breast monitoring system such as described in FIG. 28further includes a garment, wherein the garment includes a surfaceconfigured to accept the breast sensor device, and wherein the at leastone light source, the at least one photodetector, the reporting device,and the microcontroller are associated with the garment. Breastmonitoring system 2800 includes a breast sensor device 2810 including aflexible substrate 2812 associated with a surface 2805 of a garment,e.g., a nursing bra. For example, the breast sensor device 2810 caninclude an adhesive (e.g., a pressure sensitive adhesive) for adheringthe sensor to the surface 2805 of the garment. For example, the breastsensor device 2810 can include a fastener of some sort (e.g., VELCRO orsnaps) for attaching the sensor to the surface 2805 of the garment. Thebreast sensor device 2810 further includes one or more optical fibers2814 associated with the flexible substrate 2812. In this non-limitingexample, the one or more optical fibers 2814 are curved into a loop witheach end associated with connector 2816.

Breast monitoring system 2800 further includes at least one light source2820, at least one photodetector 2830, microcontroller 2850, andreporting device 2840. In this non-limiting example, the at least onelight source 2820, the at least one photodetector 2830, themicrocontroller 2850, and the reporting device 2840 are all associatedwith the surface 2805 of the garment. The at least one light source 2820(e.g., a light emitting diode) and the at least one photodetector 2830(e.g., a photodiode) are shown operably connected to the breast sensordevice 2810 through the connector 2816. For example, the connector ofthe breast sensor device can be configured to “plug in” to the lightsource and photodetector. The microcontroller 2850 includes amicroprocessor and circuitry including input circuitry, calculationcircuitry, and reporting circuitry for receiving, processing, andreporting information associated with a breastfeeding event. Thereporting device 2840 reports information regarding the breastfeedingevent to a user and includes at least one of an optical, audio, orhaptic reporting device, or a transmission unit.

In some embodiments, one or more of the light sources, photodetectors,microprocessor and reporting device are grouped together. For example,the light source and the photodetectors may be grouped together for easein connecting with the connector of the breast sensor device. In someembodiments, all or part of the light sources, photodetectors,microprocessor and reporting device are resistant to an environmentassociated with cleaning a garment, e.g., a nursing bra. For example,all or part of the components are water resistant or are encased in awater resistant compartment. In some embodiments, the light sources,photodetectors, microprocessor and reporting device are combined in asingle unit. A single unit including these components can be configuredfor easy attachment and removal from the garment so as to be able toclean the garment.

In some embodiments, the microprocessor and/or the reporting devicecomponents of the breast monitoring system are not associated with thebreastfeeding garment. For example, the microprocessor and/or thereporting device can be part of a separate computing device, e.g., adedicated hand-held device, a mobile communication device, or a laptopor tablet computing device in communication with the other components ofthe system. FIG. 29 illustrates an example of a breast monitoring systemincluding a computing device. Breast monitoring system 2900 includesbreast sensor device 2910 associated with a surface 2905 of a garment,e.g., a nursing bra. Breast sensor device 2910 includes one or moreoptical fibers 2914 associated with (e.g., attached to) flexiblesubstrate 2912. Breast sensor device 2910 is operably coupled (e.g.,“plugged in”) to at least one light source 2920 and at least onephotodetector 2930 through connector 2916. The at least one light source2920 and the at least one photodetector 2930 are associated with thesurface 2905 of the garment. Breast monitoring system 2900 furtherincludes a transmission unit 2940 operably coupled to at least thephotodetector 2930. Transmission unit 2940 is configured to communicatewith computing device 2950. Computing device 2950 includes an antenna2960 configured to communicate with transmission unit 2940. Computingdevice 2950 further includes microprocessor 2970 including inputcircuitry, calculation circuitry, and reporting circuitry configured toreceive, process, and report information associated with a breastfeedingevent. The input circuitry, calculation circuitry, and reportingcircuitry can be part of an application implemented on the mobilecommunication device. Computing device 2950 further includes reportingdevice 2980. In this non-limiting embodiment, the reporting device 2980can include a user interface (e.g., a display and a keyboard ortouchpad) for inputting and receiving information.

In some embodiments, a breast monitoring system includes a breast sensordevice including a flexible substrate, one or more optical fibersassociated with the flexible substrate, and at least one connector; atleast one light source, at least one photodetector, and a transmissionunit associated with a garment, e.g., a nursing bra; and a mobilecommunication device, in communication with the at least onephotodetector through the transmission unit, the computing deviceincluding input circuitry, calculation circuitry, and reportingcircuitry, wherein the reporting circuitry is configured to report thecalculated breast volume delta value to a user through a displayassociated with the mobile communication device.

FIG. 30 illustrates a non-limiting embodiment of a breast monitoringsystem including a subset of the system components associated with abrassiere (e.g., a nursing bra) and configured for communication with amobile communication device (e.g., a smart phone). Breast monitoringsystem 3000 includes brassiere 3005 including straps and cups. Thebrassiere can be configured for wear by a user during a breastfeedingevent. Breast monitoring system 3000 includes breast sensor device 3010including a flexible substrate associated with a surface of brassiere3005. Breast sensor device 3010 includes one or more optical fibers 3012associated with the flexible substrate and nipple access portion 3014.In this non-limiting example, the optical fibers form concentric circlesaround the nipple access portion 3014. Breast sensor device 3010 furtherincludes connector 3016. Brassiere 3005 further has associated with itat least one light source 3020, at least one photodetector 3030, and atransmission unit 3040 including an antenna 3045. In this non-limitingexample, these components are shown grouped together. In an alternativeembodiment, each component may be separately associated with thebrassiere.

Breast monitoring system 3000 further includes a mobile communicationdevice 3050 including a transmission unit 3060 including a receiver anda user interface 3070. Mobile communication device 3050 can include asmart phone or cell phone or other mobile communication device. In someembodiments, the mobile communication device 3050 can include a tabletcomputer. The transmission unit 3060 includes a receiver configured towirelessly receive signals from the transmission unit 3040 associatedwith the nursing bra 3005. Transmission unit 3060 can further include atransmitter configured to transmit signals to the transmission unit 3040of the nursing bra 3005. In some embodiments, the transmission unit 3060of the mobile communication device 3050 transmits signals carryinginformation for controlling one or more of the at least one light source3020, the at least one photodetector 3030, or the transmission unit 3040associated with the nursing bra 3005.

In some embodiments, a wearable breast monitor including one or moreoptical fibers can be used to measure a physiological parameter of auser. In an aspect, a wearable breast monitor comprises a flexiblesubstrate fabricated to substantially conform to external contours of atleast a portion of one or more breasts of a subject; one or more opticalfibers associated with the flexible substrate, wherein the one or moreoptical fibers are dynamically bendable; at least one light sourceoperably coupled to the one or more optical fibers; at least onephotodetector positioned to detect light reception from the one or moreoptical fibers; a reporting device; and a microcontroller including amicroprocessor and circuitry, wherein the circuitry includes inputcircuitry configured to receive a first set of signals from the at leastone photodetector; and receive at least one second set of signals fromthe at least one photodetector; calculation circuitry configured tocalculate a curvature delta value based on a comparison of the receivedfirst set of signals and the received at least one second set of signalsfrom the at least one photodetector; and calculate a physiologicalparameter value from the calculated curvature delta value; and reportingcircuitry configured to transmit a signal to the reporting device basedon the calculated physiological parameter value.

In some embodiments, the physiological parameter value includes a stepcount. For example, the optical fibers associated with the wearablebreast monitor can detect changes in breast curvature associated with abreast moving, e.g., bouncing up and down, with each step or footfall.

In some embodiments, the physiological parameter value includes arespiration rate. For example, the optical fibers associated with thewearable breast monitor can detect changes in breast curvatureassociated with movement of the chest and associated breasts duringinhalation and exhalation.

The state of the art has progressed to the point where there is littledistinction left between hardware, software, and/or firmwareimplementations of aspects of systems; the use of hardware, software,and/or firmware is generally (but not always, in that in certaincontexts the choice between hardware and software can becomesignificant) a design choice representing cost vs. efficiency tradeoffs.There are various vehicles by which processes and/or systems and/orother technologies described herein can be effected (e.g., hardware,software, and/or firmware), and that the preferred vehicle will varywith the context in which the processes and/or systems and/or othertechnologies are deployed. For example, if an implementer determinesthat speed and accuracy are paramount, the implementer may opt for amainly hardware and/or firmware vehicle; alternatively, if flexibilityis paramount, the implementer may opt for a mainly softwareimplementation; or, yet again alternatively, the implementer may opt forsome combination of hardware, software, and/or firmware. Hence, thereare several possible vehicles by which the processes and/or devicesand/or other technologies described herein can be effected, none ofwhich is inherently superior to the other in that any vehicle to beutilized is a choice dependent upon the context in which the vehiclewill be deployed and the specific concerns (e.g., speed, flexibility, orpredictability) of the implementer, any of which may vary. Those skilledin the art will recognize that optical aspects of implementations willtypically employ optically-oriented hardware, software, and or firmware.

In some implementations described herein, logic and similarimplementations can include software or other control structures.Electronic circuitry, for example, may have one or more paths ofelectrical current constructed and arranged to implement variousfunctions as described herein. In some implementations, one or moremedia can be configured to bear a device-detectable implementation whensuch media hold or transmit a device detectable instructions operable toperform as described herein. In some variants, for example,implementations can include an update or modification of existingsoftware or firmware, or of gate arrays or programmable hardware, suchas by performing a reception of or a transmission of one or moreinstructions in relation to one or more operations described herein.Alternatively or additionally, in some variants, an implementation caninclude special-purpose hardware, software, firmware components, and/orgeneral-purpose components executing or otherwise invokingspecial-purpose components. Specifications or other implementations canbe transmitted by one or more instances of tangible transmission mediaas described herein, optionally by packet transmission or otherwise bypassing through distributed media at various times.

Alternatively or additionally, implementations may include executing aspecial-purpose instruction sequence or otherwise invoking circuitry forenabling, triggering, coordinating, requesting, or otherwise causing oneor more occurrences of any functional operations described above. Insome variants, operational or other logical descriptions herein may beexpressed directly as source code and compiled or otherwise invoked asan executable instruction sequence. In some contexts, for example, C++or other code sequences can be compiled directly or otherwiseimplemented in high-level descriptor languages (e.g., alogic-synthesizable language, a hardware description language, ahardware design simulation, and/or other such similar mode(s) ofexpression). Alternatively or additionally, some or all of the logicalexpression may be manifested as a Verilog-type hardware description orother circuitry model before physical implementation in hardware,especially for basic operations or timing-critical applications. Thoseskilled in the art will recognize how to obtain, configure, and optimizesuitable transmission or computational elements, material supplies,actuators, or other common structures in light of these teachings.

The foregoing detailed description has set forth various embodiments ofthe devices and/or processes via the use of block diagrams, flowcharts,and/or examples. Insofar as such block diagrams, flowcharts, and/orexamples contain one or more functions and/or operations, it will beunderstood by those within the art that each function and/or operationwithin such block diagrams, flowcharts, or examples can be implemented,individually and/or collectively, by a wide range of hardware, software,firmware, or virtually any combination thereof. In one embodiment,several portions of the subject matter described herein can beimplemented via Application Specific Integrated Circuits (ASICs), FieldProgrammable Gate Arrays (FPGAs), digital signal processors (DSPs), orother integrated formats. However, some aspects of the embodimentsdisclosed herein, in whole or in part, can be equivalently implementedin integrated circuits, as one or more computer programs running on oneor more computers (e.g., as one or more programs running on one or morecomputer systems), as one or more programs running on one or moreprocessors (e.g., as one or more programs running on one or moremicroprocessors), as firmware, or as virtually any combination thereof,and that designing the circuitry and/or writing the code for thesoftware and or firmware would be well within the skill of one of skillin the art in light of this disclosure. In addition, the mechanisms ofthe subject matter described herein are capable of being distributed asa program product in a variety of forms, and that an illustrativeembodiment of the subject matter described herein applies regardless ofthe particular type of signal bearing medium used to actually carry outthe distribution.

In a general sense, those skilled in the art will recognize that thevarious embodiments described herein can be implemented, individuallyand/or collectively, by various types of electro-mechanical systemshaving a wide range of electrical components such as hardware, software,firmware, and/or virtually any combination thereof; and a wide range ofcomponents that may impart mechanical force or motion such as rigidbodies, spring or torsional bodies, hydraulics, electro-magneticallyactuated devices, and/or virtually any combination thereof.Consequently, as used herein “electro-mechanical system” includes, butis not limited to, electrical circuitry operably coupled with atransducer (e.g., an actuator, a motor, a piezoelectric crystal, a MicroElectro Mechanical System (MEMS), etc.), electrical circuitry having atleast one discrete electrical circuit, electrical circuitry having atleast one integrated circuit, electrical circuitry having at least oneapplication specific integrated circuit, electrical circuitry forming ageneral purpose computing device configured by a computer program (e.g.,a general purpose computer configured by a computer program which atleast partially carries out processes and/or devices described herein,or a microprocessor configured by a computer program which at leastpartially carries out processes and/or devices described herein),electrical circuitry forming a memory device (e.g., forms of memory(e.g., random access, flash, read only, etc.)), electrical circuitryforming a communications device (e.g., a modem, communications switch,optical-electrical equipment, etc.), and/or any non-electrical analogthereto, such as optical or other analogs. Those skilled in the art willalso appreciate that examples of electro-mechanical systems include butare not limited to a variety of consumer electronics systems, medicaldevices, as well as other systems such as motorized transport systems,factory automation systems, security systems, and/orcommunication/computing systems. Those skilled in the art will recognizethat electro-mechanical as used herein is not necessarily limited to asystem that has both electrical and mechanical actuation except ascontext may dictate otherwise.

In a general sense, the various aspects described herein can beimplemented, individually and/or collectively, by a wide range ofhardware, software, firmware, and/or any combination thereof and can beviewed as being composed of various types of “electrical circuitry.”Consequently, as used herein “electrical circuitry” includes, but is notlimited to, electrical circuitry having at least one discrete electricalcircuit, electrical circuitry having at least one integrated circuit,electrical circuitry having at least one application specific integratedcircuit, electrical circuitry forming a general purpose computing deviceconfigured by a computer program (e.g., a general purpose computerconfigured by a computer program which at least partially carries outprocesses and/or devices described herein, or a microprocessorconfigured by a computer program which at least partially carries outprocesses and/or devices described herein), electrical circuitry forminga memory device (e.g., forms of memory (e.g., random access, flash, readonly, etc.)), and/or electrical circuitry forming a communicationsdevice (e.g., a modem, communications switch, optical-electricalequipment, etc.). The subject matter described herein can be implementedin an analog or digital fashion or some combination thereof.

Those skilled in the art will recognize that at least a portion of thesystems and/or processes described herein can be integrated into a dataprocessing system. A data processing system generally includes one ormore of a system unit housing, a video display device, memory such asvolatile or non-volatile memory, processors such as microprocessors ordigital signal processors, computational entities such as operatingsystems, drivers, graphical user interfaces, and applications programs,one or more interaction devices (e.g., a touch pad, a touch screen, anantenna, etc.), and/or control systems including feedback loops andcontrol motors (e.g., feedback for sensing position and/or velocity;control motors for moving and/or adjusting components and/orquantities). A data processing system can be implemented utilizingsuitable commercially available components, such as those typicallyfound in data computing/communication and/or networkcomputing/communication systems.

Those skilled in the art will recognize that at least a portion of thesystems and/or processes described herein can be integrated into a motesystem. Those having skill in the art will recognize that a typical motesystem generally includes one or more memories such as volatile ornon-volatile memories, processors such as microprocessors or digitalsignal processors, computational entities such as operating systems,user interfaces, drivers, sensors, actuators, applications programs, oneor more interaction devices (e.g., an antenna USB ports, acoustic ports,etc.), control systems including feedback loops and control motors(e.g., feedback for sensing or estimating position and/or velocity;control motors for moving and/or adjusting components and/orquantities). A mote system may be implemented utilizing suitablecomponents, such as those found in mote computing/communication systems.Specific examples of such components entail such as Intel Corporation'sand/or Crossbow Corporation's mote components and supporting hardware,software, and/or firmware.

In certain cases, use of a system or method may occur in a territoryeven if components are located outside the territory. For example, in adistributed computing context, use of a distributed computing system mayoccur in a territory even though parts of the system may be locatedoutside of the territory (e.g., relay, server, processor, signal-bearingmedium, transmitting computer, receiving computer, etc. located outsidethe territory). A sale of a system or method may likewise occur in aterritory even if components of the system or method are located and/orused outside the territory.

Further, implementation of at least part of a system for performing amethod in one territory does not preclude use of the system in anotherterritory.

One skilled in the art will recognize that the herein describedcomponents (e.g., operations), devices, objects, and the discussionaccompanying them are used as examples for the sake of conceptualclarity and that various configuration modifications are contemplated.Consequently, as used herein, the specific exemplars set forth and theaccompanying discussion are intended to be representative of their moregeneral classes. In general, use of any specific exemplar is intended tobe representative of its class, and the non-inclusion of specificcomponents (e.g., operations), devices, and objects should not be takenlimiting.

With respect to the use of substantially any plural and/or singularterms herein, those having skill in the art can translate from theplural to the singular and/or from the singular to the plural as isappropriate to the context and/or application. The varioussingular/plural permutations are not expressly set forth herein for sakeof clarity.

The herein described subject matter sometimes illustrates differentcomponents contained within, or connected with, different othercomponents. It is to be understood that such depicted architectures aremerely exemplary, and that in fact many other architectures can beimplemented which achieve the same functionality. In a conceptual sense,any arrangement of components to achieve the same functionality iseffectively “associated” such that the desired functionality isachieved. Hence, any two components herein combined to achieve aparticular functionality can be seen as “operably coupled to” each othersuch that the desired functionality is achieved, irrespective ofarchitectures or intermedial components. Likewise, any two components soassociated can also be viewed as being “operably connected,” or“operably coupled,” to each other to achieve the desired functionality,and any two components capable of being so associated can also be viewedas being “operably couplable,” to each other to achieve the desiredfunctionality. Specific examples of operably couplable include but arenot limited to physically mateable and/or physically interactingcomponents, and/or wirelessly interactable, and/or wirelesslyinteracting components, and/or logically interacting, and/or logicallyinteractable components.

In some instances, one or more components can be referred to herein as“configured to,” “configured by,” “configurable to,” “operable/operativeto,” “adapted/adaptable,” “able to,” “conformable/conformed to,” etc.Those skilled in the art will recognize that such terms (e.g.“configured to”) can generally encompass active-state components and/orinactive-state components and/or standby-state components, unlesscontext requires otherwise.

While particular aspects of the present subject matter described hereinhave been shown and described, it will be apparent to those skilled inthe art that, based upon the teachings herein, changes and modificationscan be made without departing from the subject matter described hereinand its broader aspects and, therefore, the appended claims are toencompass within their scope all such changes and modifications as arewithin the true spirit and scope of the subject matter described herein.

It will be understood by those within the art that, in general, termsused herein, and especially in the appended claims (e.g., bodies of theappended claims) are generally intended as “open” terms (e.g., the term“including” should be interpreted as “including but not limited to,” theterm “having” should be interpreted as “having at least,” the term“includes” should be interpreted as “includes but is not limited to,”etc.). It will be further understood by those within the art that if aspecific number of an introduced claim recitation is intended, such anintent will be explicitly recited in the claim, and in the absence ofsuch recitation no such intent is present. For example, as an aid tounderstanding, the following appended claims may contain usage of theintroductory phrases “at least one” and “one or more” to introduce claimrecitations. However, the use of such phrases should not be construed toimply that the introduction of a claim recitation by the indefinitearticles “a” or “an” limits any particular claim containing suchintroduced claim recitation to claims containing only one suchrecitation, even when the same claim includes the introductory phrases“one or more” or “at least one” and indefinite articles such as “a” or“an” (e.g., “a” and/or “an” should typically be interpreted to mean “atleast one” or “one or more”); the same holds true for the use ofdefinite articles used to introduce claim recitations. In addition, evenif a specific number of an introduced claim recitation is explicitlyrecited, those skilled in the art will recognize that such recitationshould typically be interpreted to mean at least the recited number(e.g., the bare recitation of “two recitations,” without othermodifiers, typically means at least two recitations, or two or morerecitations). Furthermore, in those instances where a conventionanalogous to “at least one of A, B, and C, etc.” is used, in generalsuch a construction is intended in the sense one having skill in the artwould understand the convention (e.g., “a system having at least one ofA, B, and C” would include but not be limited to systems that have Aalone, B alone, C alone, A and B together, A and C together, B and Ctogether, and/or A, B, and C together, etc.). In those instances where aconvention analogous to “at least one of A, B, or C, etc.” is used, ingeneral such a construction is intended in the sense one having skill inthe art would understand the convention (e.g., “a system having at leastone of A, B, or C” would include but not be limited to systems that haveA alone, B alone, C alone, A and B together, A and C together, B and Ctogether, and/or A, B, and C together, etc.). It will be furtherunderstood by those within the art that typically a disjunctive wordand/or phrase presenting two or more alternative terms, whether in thedescription, claims, or drawings, should be understood to contemplatethe possibilities of including one of the terms, either of the terms, orboth terms unless context dictates otherwise. For example, the phrase “Aor B” will be typically understood to include the possibilities of “A”or “B” or “A and B.”

Various non-limiting embodiments are described herein as PropheticExamples.

Prophetic Example 1: A Wearable Adhesive Strip Breastfeeding Monitor

A wearable breastfeeding monitor is fabricated to adhere to the breastand monitor the volume of milk in the breast before and afterbreastfeeding. A flexible strip of plastic is fabricated with flexibleoptical fibers, a light source and a photodetector which detects lighttransmitted through the optical fibers. The amount of light transmitteddepends on the bend (or curvature) of the optical fibers. Amicrocontroller which includes a microprocessor and dedicatedmicrocircuitry processes the light transmission data, calculates thevolume of milk expressed during breastfeeding and reports to the mothervia a haptic device.

The breastfeeding monitor is fabricated starting with a strip ofpoly(ethylene terephthalate)(PET) or polyester. Flexible polyester filmsand biomedical adhesives are available from Tekra, Division of EIS,Inc., New Berlin, Wis. For example, an adhesive-coated polyethylene tapethat adheres well to the skin, and is conformable and hypoallergenic issuitable for fabricating the breastfeeding monitor as a strip whichadheres and conforms to the external shape of the breast (see, e.g.,FIGS. 5A and 5B).

Multimode silica optical fibers are attached to the strip in a lineararrangement spanning the adhesive strip (see, e.g., FIG. 3, 320).Standard glass-clad, silica core multimode fibers with a wavelengthrange of 400-2400 nm are available from ThorLabs Inc., Newton, N.J., andthey may be attached to the polyethylene strip with epoxy that allowsbending of the fibers/strip to conform with the shape of the breast. Awhite LED light source is connected to one end of the optical fibers(see, e.g., FIG. 3, 130). For example, a 0.3 W white LED withtransmitter circuitry and optic connectors are available from Digi-KeyCorporation, Thief River Falls, Minn. 56701 USA. A fiber optic receiver,photodetector (see e.g., FIG. 3, 140) is connected to the opposite endof the optical fibers. For example, a fiber optic receiver that includesa photodiode and output circuitry compatible with CMOS logic isavailable from Digi-Key Corporation, Thief River Falls, Minn. 56701 USA.The receiver detects light transmitted through the optical fibers andsignals to a microcontroller (see FIG. 3, 160) which determines lightintensities, calculates breast shapes and determines breast milkvolumes.

A first pulse of light is transmitted prior to breastfeeding, and asecond pulse of light is transmitted after breastfeeding. A differentialin the amount of light received following the first and second pulses(i.e., delta in light intensity) results from bending in the opticalfibers that accompanies the change of shape in the breast when milk isexpressed. For example, a fiber optic system detects bending of opticalfibers that results in attenuation of light transmitted through theoptical fibers (see e.g., Fujiwara et al., IEEE Sensors Journal 14:3631-3636, 2014 which is incorporated herein by reference). The delta inlight detected by the fiber optic receiver before and afterbreastfeeding is signaled to the microcontroller where calculationcircuitry calculates a delta in breast volume which corresponds to theamount of breast milk expressed during breastfeeding.

The wearable breast monitor includes a reporting device (see e.g., FIG.3, 150) to alert the mother when a sufficient volume of milk has beenconsumed by her infant. For example, a haptic reporting device caninclude a vibrational motor (e.g., a coin or pancake vibration motor isavailable from Precision Microdrives Ltd, London, UK) that is used toalert the nursing mother when sufficient breast milk has been expressed.The haptic reporting device may be attached to the adhesive strip andsignal by vibration on the breast when a sufficient volume of milk hasbeen expressed. For example, when a predetermined minimum and/or maximumvolume of milk has been expressed the mother may be alerted. Thereporting device may include circuitry to signal wirelessly to themother's cell phone and leave a record of the day, time and volume ofmilk expressed and consumed.

Prophetic Example 2: A Breastfeeding Monitor Nursing Bra

A breastfeeding monitor is incorporated in a nursing bra to detect andreport the expression of breast milk during breast feeding. The nursingbra is constructed from a stretchable fabric that includes interwovenoptical fibers in a spiral configuration in each cup. The bra cups fitsnugly around each breast and conform to the breast shape. The opticalfibers are inscribed with multiple Bragg gratings and connected to alight source and an optic receiver which detects light reflected throughthe optical fibers. A microcontroller, which includes a microprocessorand circuitry, processes light signals from the optical fibers andcalculates changes in breast shape which are used to calculate breastmilk consumption. A reporting device signals to the mother and anexternal device that a breastfeeding event has occurred and reports thevolume of breast milk expressed.

The nursing bra is fabricated to incorporate all the elements of thebreastfeeding monitor in a functional nursing bra. See, e.g., FIG. 11.The cups surrounding each breast are fabricated from a flexible fabriccomprised of a thin woven polyester Spandex fabric with approximately20% to 30% stretch in both width and length, so as to fit snugly andconform to the shape of the breast. Optical fibers are sewn in betweenthe layers of polyester Spandex fabric in a spiral pattern (see FIG. 13,1320) that is centered around the nipple access opening 1315. Singlemode optical fibers with multiple Bragg gratings distributed over thefiber for multi-point distributed sensing are used to provide real time3D sensing of the optical fiber. Optical fiber with Bragg gratingsinscribed is available from Technica Optical Components, Atlanta, Ga.For example, see the Specification Sheet: T100/FBG Sensing Array whichis incorporated herein by reference. Located between the bra cups on thebridge segment (see FIG. 11, 130), a laser diode source provides 980 nmlight to the optical fibers on each breast. For example, a continuouswave laser diode which emits at 980 nm is available from HamamatsuPhotonics, San Jose, Calif. and a fiber Bragg grating (FBG) receiver 140detects light reflected back through the optical fiber. FBG receiversare available from Redondo Optics, Redondo Beach, Calif. Changes inbreast shape cause changes in shape (bends) of the optical fiber whichin turn, cause changes in the light reflected from the Bragg gratings.Changes in reflected light detected by the receiver are processed by acentrally located microcontroller 160 which includes microprocessors andcircuitry to process the photonic data and calculate changes in breastshape and breast volume. A reporting device 150 transmits breastfeedingdata to an external device, (e.g., cell phone) and also alerts themother directly with a haptic device or an audio signal. Expressedbreast milk volumes determined periodically during breastfeeding arereported to a cell phone or laptop computer and when a preset minimumvolume of milk is expressed the mother is alerted with a haptic or audiosignal.

Prophetic Example 3: A Breastfeeding Monitor System for a Nursing Bra

A system to monitor breastfeeding is fabricated in a nursing bra withintegrated optical fibers and connectors and a detachable module thatincludes a light emitting diode (LED) light source, a charge coupleddevice (CCD) photodetector, a microcontroller and a reporting device.The nursing bra cups are fabricated with polyester fabric which hasinterwoven optical fibers terminating in connectors that couple to thedetachable module. The system detects change (delta) in breast shape tocalculate change (delta) in breast volume following breastfeeding andreports the volume of milk expressed to the mother and to externaldevices, e.g., a cell phone or computer.

The system includes optical fibers associated with a flexible substrateof a nursing bra. Multimode silica optical fibers are interwoven withpolyester fibers to create a flexible substrate including optical fibersthat conforms to the external shape of the breast. Woven optical fibersubstrates are described (see, e.g., U.S. Patent Appl. 2003/0044155 byMaiden, which is incorporated herein by reference). Polyester fabricwith interwoven silica core multimode fibers is used to fabricate bracups to hold the breasts and conform to their external shape. Theoptical fibers are interwoven in lateral patterns that span each breastcup. The ends of the interwoven optical fibers converge on connectorslocated in the bridge between the bra cups. Optical fiber couplers forcoupling light into and out of optical fibers are available. See e.g.,Achromatic FiberPorts that collimate over a range of wavelengths fromThorLabs Inc., Newton, N.J.

A detachable module for the breast monitoring system includes a LEDlight source, a CCD photodetector, a microcontroller and a reportingdevice which couples as a unit to the optical fiber connector on thenursing bra. A white LED light source is coupled to one end of theoptical fibers. For example, a 0.3 W white LED with transmittercircuitry and optic connectors is available from Digi-Key Corporation,Thief River Falls, Minn. 56701 USA. A fiber optic receiver (i.e.,photodetector) connects to the opposite end of the optical fibers. Forexample, a fiber optic receiver that includes a photodiode and outputcircuitry compatible with CMOS logic is available from Digi-KeyCorporation, Thief River Falls, Minn. 56701 USA. The detachable modulealso includes a microcontroller with microprocessors and dedicatedcircuitry to process, and calculate data on changes in breast shape andbreast volume. The microprocessor receives electronic signals from thephotodetector corresponding to light transmitted through the opticalfibers. For example, prior to breastfeeding, the white LED sourcetransmits a constant light intensity through the optical fiber which isdetected by the photodetector and processed by the microcontroller aslight intensity at time zero. After breastfeeding, (e.g., for 10minutes) the LED continues to transmits light through the optical fiberwhich is detected and processed as light intensity at time 10 minutes.However, bending of the optical fibers lowers the light intensitydetected by the photodetector. For example, a fiber optic system thatdetects bending of optical fibers by measuring attenuation of lighttransmitted through optical fibers is described (see e.g., Fujiwara etal., IEEE Sensors Journal 14: 3631-3636, 2014, which is incorporatedherein by reference). Circuitry in the microcontroller calculates adifference (i.e., delta) in light intensity which corresponds to a deltain the shape or bends of the optical fiber and a delta in the shape ofthe breast. Calculation circuitry converts changes in bending of the bracup optical fibers to changes in shape of the breasts and finally tochanges in volume of the breast. An exemplary volume calculation for amodel breast with radius of curvature R (s) is shown in FIG. 17. Data onthe volume of breast milk expressed is transmitted by the reportingdevice which may report to the mother with an audible or vibrating alarmwhen a minimum volume of breast milk has been expressed to nourish theinfant. In addition, the reporting device may wirelessly transmit thevolume of breast milk expressed, the time and the date to a mobilecomputing device, e.g., mobile phone to create a record of breastfeedingevents for review by the mother and healthcare workers. The detachablemodule including the microcontroller, photodetector, LED and reportermay be disconnected at the coupler and removed in order to launder thenursing bra, or the module may be coupled with another nursing bra withdifferent dimensions and different bra cups.

All of the above U.S. patents, U.S. patent application publications,U.S. patent applications, foreign patents, foreign patent applicationsand non-patent publications referred to in this specification and/orlisted in any Application Data Sheet, are incorporated herein byreference, to the extent not inconsistent herewith.

While various aspects and embodiments have been disclosed herein, otheraspects and embodiments will be apparent to those skilled in the art.The various aspects and embodiments disclosed herein are for purposes ofillustration and are not intended to be limiting, with the true scopeand spirit being indicated by the following claims.

The invention claimed is:
 1. A breast monitoring system, comprising: abreast sensor device including a flexible substrate fabricated tosubstantially conform to external contours of at least a portion of oneor more breasts of a subject; one or more optical fibers associated withthe flexible substrate, wherein the one or more optical fibers aredynamically bendable; and at least one connector operably coupled to theone or more optical fibers; at least one light source configured tooperably couple with a first end of the one or more optical fibers ofthe breast sensor device through the at least one connector; at leastone photodetector configured to operably couple with a second end of theone or more optical fibers of the breast sensor device through the atleast one connector, the at least one photodetector positioned to detectlight transmission through at least one of the one or more opticalfibers from the at least one light source; a reporting device; and amicrocontroller including a microprocessor and circuitry, wherein thecircuitry includes input circuitry configured to receive a first set ofsignals from the at least one photodetector, and receive at least onesecond set of signals from the at least one photodetector; calculationcircuitry including an algorithm configured to calculate a curvaturedelta value based on a comparison of the received first set of signalsand the received at least one second set of signals from the at leastone photodetector, and calculate a breast volume delta value from thecalculated curvature delta value; and reporting circuitry configured totransmit a signal to the reporting device based on the calculated breastvolume delta value.
 2. The system of claim 1, further comprising agarment, wherein the garment includes a surface configured to accept thebreast sensor device, and wherein the at least one light source, the atleast one photodetector, the reporting device, and the microcontrollerare associated with the garment.
 3. The system of claim 1, wherein theat least one light source, the at least one photodetector, the reportingdevice, and the microcontroller are part of a detachable unit sized forattachment to a garment.
 4. The system of claim 1, wherein each of theone or more optical fibers of the breast sensor device includes an innercore and an outer cladding, and wherein a portion of a core/claddinginterface is modified to alter light transmission, wherein the amount oflight transmitted out is dependent on the curvature of the one or moreoptical fibers.
 5. The system of claim 1, wherein at least one of theone or more optical fibers of the breast sensor device includes one ormore fiber Bragg gratings.
 6. The system of claim 1, wherein theflexible substrate of the breast sensor device is a flexible strip or aflexible sleeve fabricated to substantially conform to the externalcontours of the at least a portion of the one or more breasts of thesubject.
 7. The system of claim 6, wherein the flexible strip or theflexible sleeve is sized for placement between the external contours ofthe at least a portion of the one or more breasts of the subject and abrassiere.
 8. The system of claim 1, wherein the breast sensor deviceincludes an adhesive on at least one surface of the flexible substrate.9. The system of claim 1, wherein the breast sensor device includes atleast one fastener configured to attach the breast sensor device to agarment, wherein the fastener is at least one of a snap, a button, azipper, a hook and eye fastener, a hook and loop fastener, or a magneticfastener.
 10. The system of claim 1, wherein the breast sensor deviceincludes a nipple access portion defined by the flexible substrate,wherein the nipple access portion includes an aperture in the flexiblesubstrate sized to accommodate a nipple associated with the breast ofthe subject.
 11. The system of claim 1, wherein the at least oneconnector of the breast sensor device is configured to operably connectthe one or more optical fibers of the breast sensor device to at leastone of the at least one light source and the at least one photodetector.12. The system of claim 1, wherein the at least one connector of thebreast sensor device includes at least one light input connector and atleast one light output connector.
 13. The system of claim 1, wherein theone or more optical fibers are attached to the flexible substrate of thebreast sensor device.
 14. The system of claim 1, wherein the one or moreoptical fibers are woven into the flexible substrate of the breastsensor device.
 15. The system of claim 1, wherein the flexible substrateof the breast sensor device includes a first layer and a second layer,and wherein the one or more optical fibers are disposed between thefirst layer and the second layer of the flexible substrate.
 16. Thesystem of claim 1, wherein the one or more optical fibers are arrangedin a pattern on the flexible substrate of the breast sensor device. 17.The system of claim 1, wherein the one or more optical fibers arearranged in at least one of a radial pattern, a spiral pattern, orconcentric circles on the flexible substrate of the breast sensordevice.
 18. The system of claim 1, wherein the one or more opticalfibers are arranged in overlapping patterns on the flexible substrate ofthe breast sensor device.
 19. The system of claim 1, wherein the one ormore optical fibers are arranged in a grid-like network on the flexiblesubstrate of the breast sensor device.
 20. The system of claim 1,wherein the at least one light source comprises at least one of a lightemitting diode or a laser diode.
 21. The system of claim 1, wherein theat least one photodetector includes at least one photodiode.
 22. Thesystem of claim 1, wherein the at least one light source is configuredto emit one or more pulses of light, and wherein the at least onephotodetector is configured to measure a time delta between itsreception of light and emission of light by the at least one lightsource; and wherein the calculation circuitry is configured to calculatepositional information related to the curvature based upon the timedelta.
 23. The system of claim 1, wherein the at least one photodetectordetects light transmission, light reflection, or a combination thereofthrough at least one of the one or more optical fibers associated withthe breast sensor device.
 24. The system of claim 1, wherein at leastone of the one or more optical fibers has a cladding component having afirst optical absorption coefficient and a core component having asecond optical absorption coefficient, wherein at least one firstphotodetector is configured to detect light reception from the corecomponent and at least one second photodetector is configured to detectlight reception from the cladding component; and wherein the calculationcircuitry is configured to calculate positional information related tothe curvature based upon a difference between signals from the at leastone first photodetector and signals from the at least one secondphotodetector.
 25. The system of claim 1, wherein the reporting devicecomprises at least one of a haptic reporting device, an audio reportingdevice, or an optical reporting device.
 26. The system of claim 1,wherein the reporting device comprises a transmission unit including anantenna, the transmission unit configured to transmit the informationregarding the calculated breast volume delta value to an externaldevice.
 27. The system of claim 26, wherein the transmission unit isconfigured to transmit the information regarding the calculated breastvolume delta value to at least one of a dedicated handheld device, amobile communication device, a computing device, or a network.
 28. Thesystem of claim 1, wherein the calculation circuitry of themicrocontroller is configured to calculate a volume of milk expressedduring a breastfeeding event from the calculated breast volume deltavalue.
 29. The system of claim 1, wherein the microcontroller furtherincludes compilation circuitry configured to compile the calculatedbreast volume delta values over time and transmit a signal includinginformation regarding the compilation to the reporting device.
 30. Abreast sensor device, comprising: a flexible substrate fabricated tosubstantially conform to external contours of at least a portion of oneor more breasts of a subject; one or more optical fibers associated withthe flexible substrate, wherein the one or more optical fibers aredynamically bendable; and at least one connector operably coupled to theone or more optical fibers, wherein the at least one connector isconfigured to operably connect the one or more optical fibers to atleast one of a light source and a photodetector.
 31. The device of claim30, wherein each of the one or more optical fibers includes an innercore and an outer cladding, and wherein a portion of a core/claddinginterface is modified to alter light transmission, wherein the amount oflight transmitted out is dependent on the curvature of the one or moreoptical fibers.
 32. The device of claim 30, wherein the at least oneconnector includes a light input connector configured to operablyconnect a first end of the one or more optical fibers to the lightsource and a light output connector configured to operably connect asecond end of the one or more optical fibers to the photodetector. 33.The device of claim 30, wherein the flexible substrate is a flexiblestrip or flexible sleeve fabricated to substantially conform to theexternal contours of the at least a portion of the one or more breastsof the subject.
 34. The device of claim 33, wherein the flexible stripor the flexible sleeve is sized for placement between the externalcontours of the at least a portion of the one or more breasts of thesubject and a garment.
 35. The device of claim 30, wherein at least onesurface of the flexible substrate includes an adhesive.
 36. The deviceof claim 30, wherein the flexible substrate includes a fastenerconfigured to attach the flexible substrate to a garment, wherein thefastener is at least one of a snap, a button, a zipper, a hook and eyefastener, a hook and loop fastener, or a magnetic fastener.
 37. Thedevice of claim 30, further comprising a nipple access portion definedby the flexible substrate, wherein the nipple access portion includes anaperture in the flexible substrate sized to accommodate a nippleassociated with the breast of the subject.
 38. The device of claim 30,wherein the one or more optical fibers are woven into the flexiblesubstrate.
 39. The device of claim 30, wherein the flexible substrateincludes a first layer and a second layer, and wherein the one or moreoptical fibers are disposed between the first layer and the second layerof the flexible substrate.
 40. The device of claim 30, wherein the oneor more optical fibers are one or more glass optical fibers.
 41. Thedevice of claim 30, wherein the one or more optical fibers are one ormore plastic or polymer optical fibers.
 42. The device of claim 30,wherein the one or more optical fibers are one or more photonic crystalfibers.
 43. The device of claim 30, wherein the one or more opticalfibers associated with the flexible substrate are arranged in a pattern.44. The device of claim 30, wherein the one or more optical fibersassociated with the flexible substrate are arranged in a radial pattern,a spiral pattern, concentric circles, or a grid-like network.